{
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"FirstLineMailingAddress": "1923 SULPHUR SPRINGS RD",
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"MailingAddressCityName": "MORRISTOWN",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1107 N CHARLES G SEIVERS BLVD STE 101",
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"PracticeLocationAddressCityName": "CLINTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "865-934-6150",
"PracticeLocationAddressFaxNumber": "865-342-0150",
"EnumerationDate": "09/20/2018",
"LastUpdateDate": "03/22/2022",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Licensed Practical Nurse",
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"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}