{
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"MailingAddressFaxNumber": "276-429-2009",
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"EnumerationDate": "10/07/2024",
"LastUpdateDate": "10/07/2024",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "TAYLOR",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}