{
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"FirstLineMailingAddress": "8286 E 12 MILE RD",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-238-0277",
"MailingAddressFaxNumber": "586-619-7818",
"FirstLinePracticeLocationAddress": "8286 E 12 MILE RD",
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"EnumerationDate": "05/11/2026",
"LastUpdateDate": "05/11/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANAULLAH",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "248-835-6552",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}