{
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"OrgName": "M KEVIN SMITH MD PC",
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"FirstLineMailingAddress": "PO BOX 50976",
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"MailingAddressCityName": "NASHVILLE",
"MailingAddressStateName": "TN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "615-383-9293",
"FirstLinePracticeLocationAddress": "4230 HARDING PIKE STE 104",
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"EnumerationDate": "03/01/2006",
"LastUpdateDate": "12/05/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SMITH",
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"AuthorizedOfficialTelephoneNumber": "615-612-3541",
"Taxonomies": {
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"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "MD27936",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}