{
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"MailingAddressStateName": "GA",
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"FirstLinePracticeLocationAddress": "3690 FRANKIE WADE LN",
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"PracticeLocationAddressFaxNumber": "770-972-5156",
"EnumerationDate": "07/12/2007",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"LicenseNumber": "LPC 005786",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}