{
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"FirstLineMailingAddress": "1225 LAKE DRIVE SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND RAPIDS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49506",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "616-774-0853",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4255 KALAMAZOO AVE SE",
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"EnumerationDate": "10/19/2006",
"LastUpdateDate": "01/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROGERS",
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"AuthorizedOfficialCredential": null,
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"Taxonomies": {
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"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}