{
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"FirstLineMailingAddress": "PO BOX 210",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "757-859-5021",
"FirstLinePracticeLocationAddress": "328 W MAIN ST",
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"PracticeLocationAddressTelephoneNumber": "804-429-8602",
"PracticeLocationAddressFaxNumber": "804-429-8603",
"EnumerationDate": "05/07/2021",
"LastUpdateDate": "10/07/2021",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SADLER",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}