{
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"FirstLineMailingAddress": "1200 REEDSDALE ST",
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"MailingAddressCityName": "PITTSBURGH",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "249 SOUTH 9TH STREET",
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"EnumerationDate": "01/05/2012",
"LastUpdateDate": "10/12/2012",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANGLUM",
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"Taxonomies": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}