{
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"FirstLineMailingAddress": "3445 RIDGE RD",
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"MailingAddressCityName": "HIGHLAND",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46322-2049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-838-1100",
"MailingAddressFaxNumber": "219-923-3501",
"FirstLinePracticeLocationAddress": "3445 RIDGE RD",
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"EnumerationDate": "02/19/2010",
"LastUpdateDate": "05/10/2010",
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"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "SUMMERRISE",
"AuthorizedOfficialFirstName": "ROBIN",
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"AuthorizedOfficialTelephoneNumber": "219-838-1100",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gynecology Physician",
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"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}