{
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"FirstLineMailingAddress": "251 N CATALPA ST",
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"FirstLinePracticeLocationAddress": "1550 SPRING RD",
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"EnumerationDate": "08/09/2007",
"LastUpdateDate": "08/09/2007",
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"AuthorizedOfficialLastName": "FOX",
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"AuthorizedOfficialCredential": "MS,LCPC,CADC",
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}
},
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}
}