{
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"FirstLineMailingAddress": "195 OAKMONT DR",
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"MailingAddressCityName": "DAWSONVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30534-7731",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "706-216-7909",
"FirstLinePracticeLocationAddress": "137 PROMINENCE CT",
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"EnumerationDate": "05/24/2007",
"LastUpdateDate": "11/13/2013",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}