{
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"FirstLineMailingAddress": "8478 M 119",
"SecondLineMailingAddress": "SUITE 20",
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"MailingAddressTelephoneNumber": "231-487-0229",
"MailingAddressFaxNumber": "231-487-0299",
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"EnumerationDate": "02/13/2017",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZOERHOF",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}