{
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"FirstLineMailingAddress": "602 E 72ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAVANNAH",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-819-7878",
"MailingAddressFaxNumber": "912-819-7850",
"FirstLinePracticeLocationAddress": "11700 MERCY BLVD",
"SecondLinePracticeLocationAddress": "PLAZA D SUITE A",
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"PracticeLocationAddressTelephoneNumber": "912-819-0500",
"PracticeLocationAddressFaxNumber": "912-819-0501",
"EnumerationDate": "06/17/2005",
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"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "RN097897",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}