{
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"OtherCredential": "CNP",
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"FirstLineMailingAddress": "3909 WOODLEY RD",
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"FirstLinePracticeLocationAddress": "3909 WOODLEY RD",
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"EnumerationDate": "07/08/2005",
"LastUpdateDate": "08/17/2016",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Adult Health Nurse Practitioner",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}