{
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"FirstLineMailingAddress": "PO BOX 1890",
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"MailingAddressCityName": "BENTON",
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"MailingAddressPostalCode": "72018-1890",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-776-1885",
"MailingAddressFaxNumber": "501-776-1875",
"FirstLinePracticeLocationAddress": "5309 HIGHWAY 5 N STE 150",
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"PracticeLocationAddressCityName": "BRYANT",
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"PracticeLocationAddressTelephoneNumber": "501-847-3320",
"PracticeLocationAddressFaxNumber": "501-847-3381",
"EnumerationDate": "04/24/2018",
"LastUpdateDate": "07/01/2019",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RHODES",
"AuthorizedOfficialFirstName": "RODNEY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "501-776-1885",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
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}
}
}
}