{
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"FirstLineMailingAddress": "1100 PEACHTREE ST NE STE 900",
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"MailingAddressCityName": "ATLANTA",
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"MailingAddressPostalCode": "30309-4516",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-334-2640",
"MailingAddressFaxNumber": "678-334-2641",
"FirstLinePracticeLocationAddress": "201 17TH ST NW STE 300",
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"PracticeLocationAddressTelephoneNumber": "770-628-7255",
"PracticeLocationAddressFaxNumber": "770-628-7256",
"EnumerationDate": "12/12/2017",
"LastUpdateDate": "05/06/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIAMS",
"AuthorizedOfficialFirstName": "GEORGE",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}