{
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"FirstLinePracticeLocationAddress": "5829 W MAPLE RD STE 129",
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"PracticeLocationAddressTelephoneNumber": "248-757-2503",
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"EnumerationDate": "04/14/2014",
"LastUpdateDate": "11/05/2014",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHALEDI",
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"AuthorizedOfficialTelephoneNumber": "248-757-2503",
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{
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},
{
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},
{
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},
{
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}
]
},
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}
}