{
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"LastName": null,
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"FirstLineMailingAddress": "200 ABRAHAM FLEXNER WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOUISVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40202-2877",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "44 WATER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OWINGSVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40360-8944",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-674-9776",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/04/2014",
"LastUpdateDate": "06/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRINKLEY",
"AuthorizedOfficialFirstName": "RUTH",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "859-569-7930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": "900170",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}