{
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"MailingAddressCityName": "MARIETTA",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-851-7033",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2525 KOLB MANOR CIR SW",
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"PracticeLocationAddressCityName": "MARIETTA",
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"PracticeLocationAddressTelephoneNumber": "678-851-7033",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2020",
"LastUpdateDate": "07/20/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "LPN055335",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}