{
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"FirstLineMailingAddress": "1375 CHERRY WAY DR",
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"MailingAddressPostalCode": "43230-8700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-428-0487",
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"FirstLinePracticeLocationAddress": "455 INDUSTRIAL MILE RD",
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"PracticeLocationAddressCityName": "COLUMBUS",
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"EnumerationDate": "05/18/2010",
"LastUpdateDate": "05/18/2010",
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"NPIDeactivationReason": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOVER",
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"AuthorizedOfficialTitle": "MANAGING PARTNER/DENTIST",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}