{
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"FirstLineMailingAddress": "15 RIVERBEND DR SW",
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"MailingAddressCityName": "ROME",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1825 MARTHA BERRY BLVD NW",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-238-8012",
"PracticeLocationAddressFaxNumber": "706-238-8013",
"EnumerationDate": "06/12/2008",
"LastUpdateDate": "08/20/2019",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}