{
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"FirstLineMailingAddress": "PO BOX 750243",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "937-938-9194",
"MailingAddressFaxNumber": "937-938-9242",
"FirstLinePracticeLocationAddress": "627 S EDWIN C MOSES BLVD",
"SecondLinePracticeLocationAddress": "SUITE EMP 5J",
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"EnumerationDate": "03/22/2010",
"LastUpdateDate": "06/15/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "KULSHRESTHA",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208G00000X",
"TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}