{
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"FirstLineMailingAddress": "25 JACKSON RD",
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"FirstLinePracticeLocationAddress": "25 JACKSON RD",
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"EnumerationDate": "01/09/2007",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "EDWARDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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}
},
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}
}
}
}