{
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"FirstLineMailingAddress": "10 CADILLAC DR STE 400",
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"MailingAddressCityName": "BRENTWOOD",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "444 W UNION ST",
"SecondLinePracticeLocationAddress": "SUITE C",
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"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "740-331-7040",
"PracticeLocationAddressFaxNumber": "740-331-7050",
"EnumerationDate": "11/16/2005",
"LastUpdateDate": "01/27/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADKINS",
"AuthorizedOfficialFirstName": "RUSSELL",
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"AuthorizedOfficialTelephoneNumber": "615-926-0340",
"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}