{
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"FirstLineMailingAddress": "4200 W MARGARETTA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-921-2625",
"MailingAddressFaxNumber": "314-921-2642",
"FirstLinePracticeLocationAddress": "4200 W MARGARETTA AVE",
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"PracticeLocationAddressCityName": "SAINT LOUIS",
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"PracticeLocationAddressTelephoneNumber": "314-921-2625",
"PracticeLocationAddressFaxNumber": "314-921-2642",
"EnumerationDate": "03/11/2026",
"LastUpdateDate": "03/11/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOSLEY",
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"AuthorizedOfficialTelephoneNumber": "314-624-5575",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}