{
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"FirstLineMailingAddress": "170 TAYLOR STATION RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBUS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43213-4491",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-545-7900",
"MailingAddressFaxNumber": "614-545-7901",
"FirstLinePracticeLocationAddress": "7901 DILEY RD STE 255",
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"PracticeLocationAddressCityName": "CANAL WINCHESTER",
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"EnumerationDate": "12/20/2018",
"LastUpdateDate": "12/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POLITI",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "614-545-7900",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}