{
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"OrgName": "DYNAMIC URGENT CARE PC",
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"FirstLineMailingAddress": "1600 KENNESAW DUE WEST RD NW STE 205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KENNESAW",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "470-238-6363",
"MailingAddressFaxNumber": "470-238-6809",
"FirstLinePracticeLocationAddress": "1600 KENNESAW DUE WEST RD NW STE 205",
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"PracticeLocationAddressCityName": "KENNESAW",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "844-733-7678",
"PracticeLocationAddressFaxNumber": "470-200-3195",
"EnumerationDate": "05/29/2022",
"LastUpdateDate": "04/02/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADENUPE",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "304-952-5828",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}