{
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"OtherCredential": null,
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"FirstLineMailingAddress": "PO BOX 335",
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"MailingAddressCityName": "GREENTOWN",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46936-0335",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "765-628-7750",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "224 N MERIDIAN ST",
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"PracticeLocationAddressTelephoneNumber": "765-628-7750",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/08/2007",
"LastUpdateDate": "05/18/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHROCK",
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"AuthorizedOfficialMiddleName": "J",
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"AuthorizedOfficialTelephoneNumber": "765-438-6277",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "0008",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}