{
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"FirstLineMailingAddress": "5959 S SHERWOOD FOREST BLVD",
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"MailingAddressCityName": "BATON ROUGE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70816-6038",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-292-2031",
"MailingAddressFaxNumber": "225-295-9678",
"FirstLinePracticeLocationAddress": "246 CHEAT RD",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "MORGANTOWN",
"PracticeLocationAddressStateName": "WV",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-293-9898",
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"EnumerationDate": "06/05/2006",
"LastUpdateDate": "08/30/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BORNE",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}