{
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"FirstLineMailingAddress": "747 N STATE ST",
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"MailingAddressCityName": "NORTH VERNON",
"MailingAddressStateName": "IN",
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"FirstLinePracticeLocationAddress": "405 FERRY ST",
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"PracticeLocationAddressCityName": "VEVAY",
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"EnumerationDate": "02/11/2015",
"LastUpdateDate": "02/11/2015",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LISLE",
"AuthorizedOfficialFirstName": "JAMES",
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"AuthorizedOfficialCredential": "OD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
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}
}
}
}