{
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"FirstLineMailingAddress": "3522 N QUARRY CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHITE LAKE",
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"MailingAddressPostalCode": "48383-1878",
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"MailingAddressTelephoneNumber": "205-329-1430",
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"FirstLinePracticeLocationAddress": "6445 CITATION DR STE B",
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"PracticeLocationAddressCityName": "CLARKSTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-922-1862",
"PracticeLocationAddressFaxNumber": "248-922-2894",
"EnumerationDate": "09/04/2008",
"LastUpdateDate": "04/30/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPURGESS",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "205-329-1430",
"Taxonomies": {
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{
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"TaxonomyName": "Optometrist",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}