{
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"FirstLineMailingAddress": "112 S OXLEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYONS",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-526-3200",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "115 SPRING ST",
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"PracticeLocationAddressCityName": "MOUNT VERNON",
"PracticeLocationAddressStateName": "GA",
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"EnumerationDate": "11/12/2013",
"LastUpdateDate": "11/12/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DRIGGERS",
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"AuthorizedOfficialTelephoneNumber": "912-526-3200",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE009969",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}