{
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"FirstLineMailingAddress": "PO BOX 4018",
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"MailingAddressCityName": "JOHNSON CITY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1641 HIGHWAY 19E BYP",
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"PracticeLocationAddressFaxNumber": "423-928-1353",
"EnumerationDate": "05/01/2014",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}