{
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"OtherCredential": "FNP-BC",
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"FirstLineMailingAddress": "430 NORTHCREST DR",
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"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "430 NORTHCREST DR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-382-5734",
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"EnumerationDate": "10/18/2006",
"LastUpdateDate": "12/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "APN0000012102",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}