{
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"FirstLineMailingAddress": "19550 E 39TH ST S",
"SecondLineMailingAddress": "SUITE 225",
"MailingAddressCityName": "INDEPENDENCE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64057-2303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-228-2060",
"MailingAddressFaxNumber": "816-228-2077",
"FirstLinePracticeLocationAddress": "19550 E 39TH ST S",
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"EnumerationDate": "07/12/2007",
"LastUpdateDate": "10/13/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CALDWELL",
"AuthorizedOfficialFirstName": "CAROLYN",
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"AuthorizedOfficialTelephoneNumber": "816-698-7001",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Cardiovascular Disease Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}