{
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"FirstLineMailingAddress": "3011 NED SHELTON RD",
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"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5217 MARYLAND WAY STE 307",
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"PracticeLocationAddressCityName": "BRENTWOOD",
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"EnumerationDate": "09/01/2022",
"LastUpdateDate": "09/01/2022",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WADE",
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"AuthorizedOfficialTelephoneNumber": "615-305-7416",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}