{
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"FirstLineMailingAddress": "7265 JEANE LN",
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"MailingAddressCityName": "DENHAM SPRINGS",
"MailingAddressStateName": "LA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1680 BENTON LN",
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"PracticeLocationAddressCityName": "DENHAM SPRINGS",
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"EnumerationDate": "05/22/2023",
"LastUpdateDate": "05/22/2023",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "JEANE",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}