{
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"FirstLineMailingAddress": "945 OAK CREEK CIR APT B",
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"FirstLinePracticeLocationAddress": "945 OAK CREEK CIR APT B",
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"EnumerationDate": "06/17/2014",
"LastUpdateDate": "06/17/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUNDAS",
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"AuthorizedOfficialTelephoneNumber": "678-643-4296",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}