{
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"FirstLineMailingAddress": "2688 MOON CABIN DR",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1810 MULKEY RD STE 200",
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"PracticeLocationAddressCityName": "AUSTELL",
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"EnumerationDate": "10/08/2021",
"LastUpdateDate": "10/08/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOBBS-JACKSON",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}