{
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"FirstName": "AFRICA",
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"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "716 E FAIRFIELD RD",
"SecondLineMailingAddress": "STE 114",
"MailingAddressCityName": "GREENVILLE",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29605",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "864-568-5150",
"FirstLinePracticeLocationAddress": "716 E FAIRFIELD RD",
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"PracticeLocationAddressCityName": "GREENVILLE",
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"PracticeLocationAddressTelephoneNumber": "864-558-0044",
"PracticeLocationAddressFaxNumber": "864-568-5150",
"EnumerationDate": "10/03/2019",
"LastUpdateDate": "10/03/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}