{
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"OrgName": "PETERSON FAMILY HEALTHCARE",
"LastName": null,
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"FirstLineMailingAddress": "PO BOX 716",
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"MailingAddressCityName": "ERWIN",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1201 N MAIN AVE STE 3",
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"PracticeLocationAddressCityName": "ERWIN",
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"EnumerationDate": "09/10/2010",
"LastUpdateDate": "09/10/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETERSON",
"AuthorizedOfficialFirstName": "SHANNA",
"AuthorizedOfficialMiddleName": "B",
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"AuthorizedOfficialCredential": "FNP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "APN11999",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}