{
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"FirstLineMailingAddress": "59664 HIGHWAY 22",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-863-8951",
"MailingAddressFaxNumber": "334-863-2361",
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"PracticeLocationAddressCityName": "ROANOKE",
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"PracticeLocationAddressFaxNumber": "334-863-2361",
"EnumerationDate": "03/17/2008",
"LastUpdateDate": "09/09/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESTES",
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"AuthorizedOfficialCredential": "RN, BSN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}