{
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"FirstLineMailingAddress": "225 RICHMOND ST # 4019",
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"MailingAddressFaxNumber": "606-392-2304",
"FirstLinePracticeLocationAddress": "210 ST. GEORGE ST",
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"EnumerationDate": "06/12/2006",
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"AuthorizedOfficialLastName": "CHADWELL",
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"AuthorizedOfficialCredential": "APRN",
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"Taxonomies": {
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{
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{
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}
]
},
"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."
}
}
}
}