{
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"LastName": null,
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"FirstLineMailingAddress": "400 FLAGG RD",
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"MailingAddressStateName": "NC",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "400 FLAGG RD",
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"PracticeLocationAddressCityName": "HOLLY SPRINGS",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/30/2021",
"LastUpdateDate": "04/26/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLAS",
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"AuthorizedOfficialTelephoneNumber": "919-244-2025",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}