{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SPECTRUM HEALTHCARE SOLUTIONS LLC",
"LastName": null,
"FirstName": null,
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"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "3151 LENORA CHURCH RD",
"SecondLineMailingAddress": "SUITE 600",
"MailingAddressCityName": "SNELLVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30039-4818",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-344-0148",
"MailingAddressFaxNumber": "888-559-9575",
"FirstLinePracticeLocationAddress": "3151 LENORA CHURCH RD",
"SecondLinePracticeLocationAddress": "SUITE 600",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-344-0148",
"PracticeLocationAddressFaxNumber": "888-559-9575",
"EnumerationDate": "09/27/2010",
"LastUpdateDate": "11/30/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JEMISON",
"AuthorizedOfficialFirstName": "VICTOR",
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"AuthorizedOfficialTelephoneNumber": "678-344-0148",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE009695",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}