{
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"FirstLineMailingAddress": "PO BOX 392907",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSBURGH",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15251-9907",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-962-1484",
"MailingAddressFaxNumber": "513-772-4464",
"FirstLinePracticeLocationAddress": "8735 S 2ND ST",
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"PracticeLocationAddressCityName": "TIPP CITY",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressTelephoneNumber": "937-845-4274",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/17/2005",
"LastUpdateDate": "03/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSS",
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"AuthorizedOfficialTelephoneNumber": "937-845-8472",
"Taxonomies": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "020768350",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}