{
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"OrgName": "THE DR. ALBERT B. CLEAGE, SR. MEMORIAL HEALTH CENTER",
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"NamePrefix": null,
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"FirstLineMailingAddress": "700 SEWARD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DETROIT",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48202-2427",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-874-1300",
"MailingAddressFaxNumber": "313-874-3140",
"FirstLinePracticeLocationAddress": "700 SEWARD ST",
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"PracticeLocationAddressCityName": "DETROIT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-874-1300",
"PracticeLocationAddressFaxNumber": "313-874-3140",
"EnumerationDate": "07/07/2007",
"LastUpdateDate": "08/18/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBY",
"AuthorizedOfficialFirstName": "MELANIE",
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"AuthorizedOfficialTitle": "PRESIDENT, CEO",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "313-874-1300",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Primary Care Clinic/Center",
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"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}