{
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"FirstLineMailingAddress": "1100 PEACHTREE ST NE STE 200",
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"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1800 PEACHTREE ST NW STE 660",
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"EnumerationDate": "09/25/2017",
"LastUpdateDate": "09/25/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
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"AuthorizedOfficialTelephoneNumber": "904-327-8330",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}