{
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"FirstLineMailingAddress": "113 HARDING WAY E",
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"MailingAddressCityName": "GALION",
"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-468-1075",
"MailingAddressFaxNumber": "419-468-8618",
"FirstLinePracticeLocationAddress": "113 HARDING WAY E",
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"EnumerationDate": "11/06/2006",
"LastUpdateDate": "03/31/2023",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CRUM",
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"Taxonomies": {
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"TaxonomyName": "Public Health or Welfare Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}