{
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 1013",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTFIELD",
"MailingAddressStateName": "IN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-706-7374",
"MailingAddressFaxNumber": "317-706-7379",
"FirstLinePracticeLocationAddress": "2270 E FRY BLVD",
"SecondLinePracticeLocationAddress": "SUITE 5",
"PracticeLocationAddressCityName": "SIERRA VISTA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-458-7330",
"PracticeLocationAddressFaxNumber": "520-458-7384",
"EnumerationDate": "05/20/2006",
"LastUpdateDate": "07/23/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCARTHY",
"AuthorizedOfficialFirstName": "GREGORY",
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"AuthorizedOfficialTitle": "CHIEF OPERATIONS OFFICER",
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"AuthorizedOfficialCredential": "AO",
"AuthorizedOfficialTelephoneNumber": "727-530-7700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "02027010",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}