{
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"FirstLineMailingAddress": "244 MCMAHAN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKERSVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28705-8178",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-688-2965",
"MailingAddressFaxNumber": "828-688-2965",
"FirstLinePracticeLocationAddress": "244 MCMAHAN LN",
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"PracticeLocationAddressCityName": "BAKERSVILLE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "828-688-2965",
"EnumerationDate": "05/02/2007",
"LastUpdateDate": "06/26/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATHIS",
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"AuthorizedOfficialTelephoneNumber": "828-688-2965",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Custodial Care Facility",
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"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}