{
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"FirstLineMailingAddress": "5121 EHRLICH RD",
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"EnumerationDate": "08/29/2005",
"LastUpdateDate": "01/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "09/02/2005",
"NPIReactivationDate": "09/21/2005",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELSH",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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{
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]
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}