{
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"FirstLineMailingAddress": "PO BOX 595",
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"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29442-0595",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1530 N FANT ST UNIT A",
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"PracticeLocationAddressCityName": "ANDERSON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-488-8911",
"PracticeLocationAddressFaxNumber": "843-545-7911",
"EnumerationDate": "01/24/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURGIN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "843-458-4424",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "178",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}