{
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"IsOrgSubpart": "N",
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"OrgName": "EPHRAIM MCDOWELL LIBERTY PHARMACY",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "217 SOUTH THIRD STREET",
"SecondLineMailingAddress": "DEPT OF PHARMACY",
"MailingAddressCityName": "DANVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40422-8911",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-239-1721",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "68 HUSTONVILLE STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIBERTY",
"PracticeLocationAddressStateName": "KY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-239-1721",
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"EnumerationDate": "08/24/2006",
"LastUpdateDate": "04/17/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALTOM",
"AuthorizedOfficialFirstName": "JOAN",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY SERVICES",
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"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "859-239-1721",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}