{
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"FirstLineMailingAddress": "9412 COLLETON WAY",
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"MailingAddressStateName": "AL",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9412 COLLETON WAY",
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"PracticeLocationAddressCityName": "MONTGOMERY",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/21/2023",
"LastUpdateDate": "02/21/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOORE",
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"AuthorizedOfficialTelephoneNumber": "334-312-5013",
"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}