{
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"FirstLineMailingAddress": "5820 VETERANS PKWY STE 109",
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"MailingAddressCityName": "COLUMBUS",
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"MailingAddressPostalCode": "31904-3453",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-324-7763",
"MailingAddressFaxNumber": "706-324-7792",
"FirstLinePracticeLocationAddress": "100 MEDICAL CENTER DR., SUITE 306",
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"PracticeLocationAddressCityName": "GADSDEN",
"PracticeLocationAddressStateName": "AL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-459-4971",
"PracticeLocationAddressFaxNumber": "256-952-2153",
"EnumerationDate": "09/19/2012",
"LastUpdateDate": "03/06/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAGE",
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"AuthorizedOfficialTelephoneNumber": "706-324-7763",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}