{
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"OtherCredential": null,
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"FirstLineMailingAddress": "105 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELIDA",
"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "105 W MAIN ST",
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"PracticeLocationAddressCityName": "ELIDA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/17/2007",
"LastUpdateDate": "10/29/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HADDING",
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"AuthorizedOfficialTelephoneNumber": "419-339-3921",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}