{
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "214 EXPO CIR STE 2",
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"EnumerationDate": "12/23/2013",
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"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILEY",
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"AuthorizedOfficialTelephoneNumber": "318-396-1812",
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}