{
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"FirstLineMailingAddress": "127 QUICK RD",
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"MailingAddressTelephoneNumber": "937-845-1070",
"MailingAddressFaxNumber": "937-845-1168",
"FirstLinePracticeLocationAddress": "118 DENNIS DR",
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"PracticeLocationAddressCityName": "LEXINGTON",
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"EnumerationDate": "04/07/2015",
"LastUpdateDate": "04/07/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "937-845-1070",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}