{
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"FirstLinePracticeLocationAddress": "3720 S INDIANA AVE",
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"EnumerationDate": "05/09/2007",
"LastUpdateDate": "06/20/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLVER",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}