{
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"FirstLineMailingAddress": "900 GLENDALE ROAD",
"SecondLineMailingAddress": "P. O. BOX 568",
"MailingAddressCityName": "GALAX",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "967 EAST STUART DRIVE",
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"PracticeLocationAddressCityName": "GALAX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "276-236-1120",
"PracticeLocationAddressFaxNumber": "276-236-1123",
"EnumerationDate": "07/25/2006",
"LastUpdateDate": "06/25/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "0202007228",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}