{
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"FirstLineMailingAddress": "1663 OLD STATE ROUTE 122",
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"MailingAddressStateName": "OH",
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"FirstLinePracticeLocationAddress": "1001 W STATE ST",
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"EnumerationDate": "12/22/2011",
"LastUpdateDate": "12/22/2011",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MCCALL",
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"Taxonomies": {
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{
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},
{
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}
]
},
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}
}