{
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"FirstLineMailingAddress": "6801 GRAY RD",
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"MailingAddressCityName": "INDIANAPOLIS",
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"MailingAddressTelephoneNumber": "317-512-1098",
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"FirstLinePracticeLocationAddress": "6801 GRAY RD",
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"PracticeLocationAddressFaxNumber": "317-825-3050",
"EnumerationDate": "07/12/2016",
"LastUpdateDate": "07/12/2016",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "LEWIS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}