{
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"FirstLineMailingAddress": "PO BOX 837",
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"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "210 S. SECOND ST.",
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"PracticeLocationAddressCityName": "HAMILTON",
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"PracticeLocationAddressTelephoneNumber": "513-454-7355",
"PracticeLocationAddressFaxNumber": "513-443-9303",
"EnumerationDate": "04/18/2019",
"LastUpdateDate": "11/03/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROLLER",
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"AuthorizedOfficialTelephoneNumber": "513-464-1460",
"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}