{
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"FirstLineMailingAddress": "1219 K ST NW",
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"MailingAddressCityName": "ARDMORE",
"MailingAddressStateName": "OK",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1219 K ST NW",
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"EnumerationDate": "09/19/2013",
"LastUpdateDate": "09/19/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STANDRIDGE",
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}