{
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"FirstLineMailingAddress": "200 W 134TH PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CUT OFF",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70345-4143",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-632-6401",
"MailingAddressFaxNumber": "985-632-1029",
"FirstLinePracticeLocationAddress": "186 W 134TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUT OFF",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70345-4155",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-325-9700",
"PracticeLocationAddressFaxNumber": "985-325-9701",
"EnumerationDate": "09/26/2014",
"LastUpdateDate": "01/11/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLLINS",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "S",
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"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "985-632-6401",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}