{
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"FirstLineMailingAddress": "301 HIGHWAY 71 W",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "301 HIGHWAY 71 W",
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"EnumerationDate": "04/20/2007",
"LastUpdateDate": "08/22/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HENRY",
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"AuthorizedOfficialCredential": "D.D.S., M.D.S.",
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"Taxonomy": {
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"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}