{
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"FirstLineMailingAddress": "4863 PROMENADE PKWY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-481-9012",
"MailingAddressFaxNumber": "205-481-9014",
"FirstLinePracticeLocationAddress": "4847 PROMENADE PKWY STE 102",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-481-9012",
"PracticeLocationAddressFaxNumber": "205-481-9014",
"EnumerationDate": "07/16/2008",
"LastUpdateDate": "05/31/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAMB",
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"AuthorizedOfficialMiddleName": "MICHAEL",
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"AuthorizedOfficialCredential": "MS, PT",
"AuthorizedOfficialTelephoneNumber": "205-365-7602",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PTH3086",
"LicenseNumberStateCode": "AL",
"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."
}
}
}
}