{
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"IsOrgSubpart": "N",
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"OtherCredential": null,
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"FirstLineMailingAddress": "502 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMILTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45013-3222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-939-1500",
"MailingAddressFaxNumber": "513-939-1501",
"FirstLinePracticeLocationAddress": "502 MAIN ST",
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"PracticeLocationAddressCityName": "HAMILTON",
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"PracticeLocationAddressFaxNumber": "513-939-1501",
"EnumerationDate": "12/17/2025",
"LastUpdateDate": "12/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MECKAEL",
"AuthorizedOfficialFirstName": "FLOPOTER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "419-973-5514",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}