{
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"FirstLineMailingAddress": "12 SOUTH AVE",
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"FirstLinePracticeLocationAddress": "95 ALLENS CREEK RD",
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"EnumerationDate": "08/23/2016",
"LastUpdateDate": "08/23/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ENGLERT",
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}
},
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}
}
}
}