{
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"FirstLineMailingAddress": "12919 BENNETT RD",
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"MailingAddressTelephoneNumber": "937-361-6590",
"MailingAddressFaxNumber": "937-981-4442",
"FirstLinePracticeLocationAddress": "550 MIRABEAU ST",
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"PracticeLocationAddressCityName": "GREENFIELD",
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"PracticeLocationAddressTelephoneNumber": "937-981-9284",
"PracticeLocationAddressFaxNumber": "937-981-4442",
"EnumerationDate": "01/20/2021",
"LastUpdateDate": "01/20/2021",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Occupational Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}