{
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"FirstLineMailingAddress": "1415 OLD WEISGARBER RD STE 350",
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"MailingAddressCityName": "KNOXVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37909-1381",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-629-9868",
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"FirstLinePracticeLocationAddress": "1919 PINNACLE POINTE WAY",
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"PracticeLocationAddressTelephoneNumber": "877-380-2072",
"PracticeLocationAddressFaxNumber": "208-383-5306",
"EnumerationDate": "12/09/2013",
"LastUpdateDate": "08/03/2021",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "PIKE",
"AuthorizedOfficialFirstName": "CHRISTINA",
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"AuthorizedOfficialTelephoneNumber": "208-985-2260",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": null,
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}