{
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"FirstLineMailingAddress": "180 PROSPEROUS PL STE 101",
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"MailingAddressStateName": "KY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "180 PROSPEROUS PL STE 101",
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"EnumerationDate": "08/16/2023",
"LastUpdateDate": "08/16/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
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"Taxonomies": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}