{
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"MailingAddressFaxNumber": "812-450-6822",
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"PracticeLocationAddressCityName": "HARRISBURG",
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"EnumerationDate": "11/03/2022",
"LastUpdateDate": "01/26/2023",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DILLMAN",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}