{
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"FirstLineMailingAddress": "417C S. SHARON AMITY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLOTTE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28211",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-969-4182",
"MailingAddressFaxNumber": "704-365-4171",
"FirstLinePracticeLocationAddress": "200 QUEENS ROAD",
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"EnumerationDate": "11/24/2015",
"LastUpdateDate": "07/30/2018",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRITTENDON",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}