{
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"FirstLineMailingAddress": "PO BOX 92944",
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"FirstLinePracticeLocationAddress": "7724 EL DORADO DR",
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"EnumerationDate": "06/12/2012",
"LastUpdateDate": "11/12/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BENNETT",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}