{
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"FirstLineMailingAddress": "7461 S STATE RD STE A",
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"MailingAddressCityName": "GOODRICH",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-636-2265",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7461 S STATE RD STE A",
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"EnumerationDate": "05/23/2022",
"LastUpdateDate": "05/23/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "RICE",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}