{
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"FirstLineMailingAddress": "3222 STUART LN",
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"MailingAddressCityName": "DEARBORN",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-416-6352",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3222 STUART LN",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/19/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COUSINS",
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"AuthorizedOfficialMiddleName": "LOUISE",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "248-416-6352",
"Taxonomies": {
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"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}