{
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"FirstLineMailingAddress": "2001 MINNEAPOLIS AVE",
"SecondLineMailingAddress": "SUITE D",
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"MailingAddressPostalCode": "49837-2060",
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"MailingAddressTelephoneNumber": "906-776-5640",
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"FirstLinePracticeLocationAddress": "2001 MINNEAPOLIS AVE",
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"EnumerationDate": "02/08/2011",
"LastUpdateDate": "03/22/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "906-774-1313",
"Taxonomies": {
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"TaxonomyName": "Radiology Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}