{
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"FirstLineMailingAddress": "1800 S US HIGHWAY 35",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-248-0456",
"MailingAddressFaxNumber": "574-772-5643",
"FirstLinePracticeLocationAddress": "1800 S US HIGHWAY 35",
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"EnumerationDate": "06/09/2022",
"LastUpdateDate": "06/09/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOK",
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"AuthorizedOfficialTelephoneNumber": "574-772-3666",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}