{
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"FirstLineMailingAddress": "PO BOX 1095",
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"MailingAddressCityName": "MINDEN",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71058-1095",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-377-8855",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2001 DOCTORS DR",
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"PracticeLocationAddressCityName": "SPRINGHILL",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71075-4526",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/19/2014",
"LastUpdateDate": "06/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JUDY",
"AuthorizedOfficialFirstName": "JESS",
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"AuthorizedOfficialTelephoneNumber": "615-920-7212",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "DPM.200064",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}