{
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"FirstLineMailingAddress": "PO BOX 1000",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "8071 WINCHESTER RD",
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"PracticeLocationAddressFaxNumber": "901-624-0702",
"EnumerationDate": "01/31/2007",
"LastUpdateDate": "02/26/2016",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": null
}
}