{
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"FirstLineMailingAddress": "2939 S SHERIDAN RD",
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"MailingAddressCityName": "STANTON",
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"MailingAddressTelephoneNumber": "989-831-9009",
"MailingAddressFaxNumber": "989-607-6875",
"FirstLinePracticeLocationAddress": "2939 S SHERIDAN RD",
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"EnumerationDate": "05/31/2020",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "BROWN",
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"AuthorizedOfficialTelephoneNumber": "989-831-9009",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}