{
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"FirstLineMailingAddress": "181 GRANVILLE ST",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "GAHANNA",
"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "181 GRANVILLE ST",
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"EnumerationDate": "04/22/2013",
"LastUpdateDate": "04/22/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRAN",
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"AuthorizedOfficialTelephoneNumber": "614-620-9343",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "259575",
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}
},
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}
}