{
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"FirstLineMailingAddress": "9710 ALMAVIVA DR",
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"MailingAddressCityName": "JOHNS CREEK",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "6920 MCGINNIS FERRY RD STE 340",
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"PracticeLocationAddressCityName": "SUWANEE",
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"PracticeLocationAddressTelephoneNumber": "770-232-2911",
"PracticeLocationAddressFaxNumber": "770-232-2996",
"EnumerationDate": "05/10/2006",
"LastUpdateDate": "06/08/2023",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"LicenseNumber": "057867",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}