{
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"FirstLineMailingAddress": "55 TOWLER RD",
"SecondLineMailingAddress": "BUILDING B",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-962-9560",
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"FirstLinePracticeLocationAddress": "55 TOWLER RD",
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"PracticeLocationAddressFaxNumber": "770-822-4529",
"EnumerationDate": "08/13/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "EVANS",
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"AuthorizedOfficialCredential": "DDS, MS",
"AuthorizedOfficialTelephoneNumber": "770-962-9560",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
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}
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}