{
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"FirstLineMailingAddress": "1 ALAMITO LN",
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"FirstLinePracticeLocationAddress": "3901 N HIGHWAY 7",
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"EnumerationDate": "08/29/2017",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "OWEN",
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"AuthorizedOfficialCredential": "MS., CCC-SLP",
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"TaxonomyName": "Speech-Language Pathologist",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}