{
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"FirstLineMailingAddress": "306 W MICHIGAN AVE",
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"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "216 W EUCLID AVE",
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"EnumerationDate": "03/20/2007",
"LastUpdateDate": "09/16/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
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"AuthorizedOfficialTelephoneNumber": "517-768-9200",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}