{
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 253",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE ROCK",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29567-0253",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-487-5043",
"MailingAddressFaxNumber": "843-841-0942",
"FirstLinePracticeLocationAddress": "106 W WASHINGTON ST",
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"PracticeLocationAddressCityName": "DILLON",
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"PracticeLocationAddressTelephoneNumber": "843-487-5040",
"PracticeLocationAddressFaxNumber": "843-487-5041",
"EnumerationDate": "06/21/2011",
"LastUpdateDate": "06/22/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNS",
"AuthorizedOfficialFirstName": "MARY",
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"AuthorizedOfficialTelephoneNumber": "843-453-1435",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
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},
{
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}
]
},
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}
}