{
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"FirstLinePracticeLocationAddress": "480 BARRINGTON FARMS PKWY",
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"EnumerationDate": "10/16/2015",
"LastUpdateDate": "10/16/2015",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HENRY",
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"AuthorizedOfficialCredential": "DPT",
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}
]
}
}
}