{
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"FirstLineMailingAddress": "834 W MEETING ST",
"SecondLineMailingAddress": "SUITE E",
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"MailingAddressPostalCode": "29720-6251",
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"MailingAddressTelephoneNumber": "803-283-3775",
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"FirstLinePracticeLocationAddress": "834 W MEETING ST",
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"EnumerationDate": "05/02/2008",
"LastUpdateDate": "05/02/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AHMED",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pulmonary Disease Physician",
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"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}