{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "1902 FRONT ST FRNT ST",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "MS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-562-6120",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1959 BLOOMFIELD RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PRESTON",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/03/2024",
"LastUpdateDate": "10/03/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOYD",
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"AuthorizedOfficialCredential": "ETC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}