{
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"FirstLineMailingAddress": "3400 STONY SPRING CIR",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-819-8300",
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"FirstLinePracticeLocationAddress": "3400 STONY SPRING CIRCLE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "502-499-4431",
"EnumerationDate": "09/06/2006",
"LastUpdateDate": "09/30/2024",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOORE",
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"TaxonomyName": "Clinical Social Worker",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}