{
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"FirstLineMailingAddress": "1424 MONTCLAIR RD STE 6101",
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"MailingAddressCityName": "BIRMINGHAM",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1424 MONTCLAIR RD STE 6101",
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"EnumerationDate": "08/01/2017",
"LastUpdateDate": "07/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LONG",
"AuthorizedOfficialFirstName": "PHILLIP",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "205-391-3600",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
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},
{
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}
]
},
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}
}