{
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"EIN": null,
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"FirstLineMailingAddress": "1 SAINT VINCENT CIR",
"SecondLineMailingAddress": "SUITE 160",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "501-661-0038",
"FirstLinePracticeLocationAddress": "1 SAINT VINCENT CIR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-661-0037",
"PracticeLocationAddressFaxNumber": "501-661-0038",
"EnumerationDate": "04/27/2009",
"LastUpdateDate": "07/24/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Infectious Disease Physician",
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"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}