{
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"FirstLineMailingAddress": "1291 STANLEY RD NW",
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"MailingAddressCityName": "KENNESAW",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-427-0147",
"MailingAddressFaxNumber": "678-303-5256",
"FirstLinePracticeLocationAddress": "1291 STANLEY RD NW",
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"PracticeLocationAddressCityName": "KENNESAW",
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"PracticeLocationAddressFaxNumber": "678-303-5256",
"EnumerationDate": "07/13/2015",
"LastUpdateDate": "07/13/2015",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "HUFF",
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"Taxonomies": {
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"TaxonomyName": "Psychiatric Residential Treatment Facility",
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}
},
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}
}