{
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"MailingAddressCityName": "LAWRENCEVILLE",
"MailingAddressStateName": "GA",
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"FirstLinePracticeLocationAddress": "2175 PARKLAKE DR NE",
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"PracticeLocationAddressCityName": "ATLANTA",
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"EnumerationDate": "10/14/2020",
"LastUpdateDate": "10/14/2020",
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"GenderCode": "M",
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"Taxonomies": {
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"LicenseNumber": "RPH032354",
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"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."
}
}
}
}