{
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"NamePrefix": null,
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"FirstLineMailingAddress": "200A S 3RD STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCALESTER",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-423-4333",
"MailingAddressFaxNumber": "918-429-0498",
"FirstLinePracticeLocationAddress": "200A S 3RD STREET",
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"PracticeLocationAddressFaxNumber": "918-429-0498",
"EnumerationDate": "09/30/2006",
"LastUpdateDate": "04/27/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARDY",
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"AuthorizedOfficialTelephoneNumber": "918-423-4333",
"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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}
]
},
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}
}