{
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"FirstLineMailingAddress": "112 S OXLEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYONS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30436-5645",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-526-3200",
"MailingAddressFaxNumber": "912-526-6830",
"FirstLinePracticeLocationAddress": "112 S OXLEY DR",
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"PracticeLocationAddressTelephoneNumber": "912-526-3200",
"PracticeLocationAddressFaxNumber": "912-526-6830",
"EnumerationDate": "05/05/2006",
"LastUpdateDate": "05/07/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AKINS",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "TRENT",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "912-526-3200",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "PHRE008278",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}