{
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"FirstLineMailingAddress": "PO BOX 508",
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"MailingAddressCityName": "EATON RAPIDS",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "11300 COLUMBIA HWY",
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"EnumerationDate": "08/27/2018",
"LastUpdateDate": "08/27/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRESAS",
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"AuthorizedOfficialTelephoneNumber": "517-927-7996",
"Taxonomies": {
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"TaxonomyName": "Adult Care Home Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}