{
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"FirstLineMailingAddress": "405 PARKWAY DR",
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"FirstLinePracticeLocationAddress": "405 PARKWAY",
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"EnumerationDate": "09/15/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
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"AuthorizedOfficialTelephoneNumber": "336-676-5394",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}