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"FirstLineMailingAddress": "33497 23 MILE RD",
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"MailingAddressStateName": "MI",
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"FirstLinePracticeLocationAddress": "33497 23 MILE RD",
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"EnumerationDate": "11/20/2012",
"LastUpdateDate": "11/20/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKONOWSKI",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "313-530-1135",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}