{
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"FirstLineMailingAddress": "22250 PROVIDENCE DR",
"SecondLineMailingAddress": "SUITE #200",
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"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48075-6210",
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"FirstLinePracticeLocationAddress": "22250 PROVIDENCE DR",
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"EnumerationDate": "12/01/2006",
"LastUpdateDate": "10/15/2007",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "PORTNEY",
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"AuthorizedOfficialCredential": "MD, PC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Rheumatology Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}