{
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"FirstLineMailingAddress": "1701 MAGNOLIA WAY",
"SecondLineMailingAddress": "SUITE 201",
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"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30909-9483",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-226-0073",
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"FirstLinePracticeLocationAddress": "35 VARDEN DR",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "AIKEN",
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"PracticeLocationAddressTelephoneNumber": "706-922-7777",
"PracticeLocationAddressFaxNumber": "706-922-7780",
"EnumerationDate": "05/25/2011",
"LastUpdateDate": "05/27/2011",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "CHAUDHARY",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "803-226-0073",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": "26590",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}