{
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"FirstLineMailingAddress": "912 OSLER DR STE B",
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"MailingAddressCityName": "JONESBORO",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "912 OSLER DR STE C",
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"PracticeLocationAddressTelephoneNumber": "501-269-1395",
"PracticeLocationAddressFaxNumber": "501-246-5451",
"EnumerationDate": "04/18/2012",
"LastUpdateDate": "12/01/2023",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "GURESKY",
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"Taxonomies": {
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}
},
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}
}