{
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"FirstLineMailingAddress": "705 BISHOP LN N",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-343-5971",
"MailingAddressFaxNumber": "251-343-7589",
"FirstLinePracticeLocationAddress": "705 BISHOP LN N",
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"PracticeLocationAddressCityName": "MOBILE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-373-5971",
"PracticeLocationAddressFaxNumber": "251-373-7589",
"EnumerationDate": "06/13/2006",
"LastUpdateDate": "07/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORGAN",
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"AuthorizedOfficialCredential": "DPM",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}