{
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"FirstLineMailingAddress": "10 CADILLAC DR STE 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRENTWOOD",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-309-5668",
"MailingAddressFaxNumber": "615-373-4457",
"FirstLinePracticeLocationAddress": "1115 E GONZALEZ ST STE 10011003",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PENSACOLA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32503-6050",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-266-7235",
"PracticeLocationAddressFaxNumber": "850-502-5417",
"EnumerationDate": "04/28/2021",
"LastUpdateDate": "06/20/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADKINS",
"AuthorizedOfficialFirstName": "RUSSELL",
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"AuthorizedOfficialTitle": "SVP, CHIEF LEGAL OFFICER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-309-5668",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}