{
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"FirstLineMailingAddress": "717 PARK RIDGE CIR",
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"FirstLinePracticeLocationAddress": "3735 CORPORATE WOODS DR STE 105",
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"PracticeLocationAddressTelephoneNumber": "205-201-0801",
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"EnumerationDate": "08/01/2025",
"LastUpdateDate": "08/01/2025",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "THOMPSON",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}