{
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7005 YOUREE DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHREVEPORT",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71005",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7004 YOUREE DRIVE",
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"PracticeLocationAddressCityName": "SHREVEPORT",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2014",
"LastUpdateDate": "06/30/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALLUMS",
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"AuthorizedOfficialTitle": "PHARMACIST-IN-CHARGE",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "318-553-2726",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": "CDS.039623",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}