{
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"FirstLineMailingAddress": "510 W. TEXAS",
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"FirstLinePracticeLocationAddress": "810 N UNION",
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"EnumerationDate": "11/03/2015",
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"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLDER",
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"AuthorizedOfficialCredential": "DOM",
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"Taxonomies": {
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}
},
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}
}