{
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"FirstLineMailingAddress": "817 PRINCETON AVE SW",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "817 PRINCETON AVE SW",
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"EnumerationDate": "02/21/2007",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRIFFIN",
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"AuthorizedOfficialTelephoneNumber": "205-648-2730",
"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}