{
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"FirstLineMailingAddress": "PO BOX 349",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "620-875-1345",
"MailingAddressFaxNumber": "620-886-5517",
"FirstLinePracticeLocationAddress": "130 E ROSS ST STE 111",
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"PracticeLocationAddressFaxNumber": "620-886-5517",
"EnumerationDate": "02/26/2016",
"LastUpdateDate": "11/22/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRADFIELD",
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"AuthorizedOfficialTelephoneNumber": "785-466-6810",
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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}
]
},
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}
}