{
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"FirstLineMailingAddress": "437 REBECCA AVE APT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSBURGH",
"MailingAddressStateName": "PA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "727 WOOD ST STE 2",
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"PracticeLocationAddressCityName": "PITTSBURGH",
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"EnumerationDate": "06/09/2025",
"LastUpdateDate": "06/09/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDWELL",
"AuthorizedOfficialFirstName": "KIEASHIA",
"AuthorizedOfficialMiddleName": "DESHAWN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "412-983-9578",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Doula",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}