{
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"FirstLineMailingAddress": "108 S 4TH ST",
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"MailingAddressStateName": "IA",
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"FirstLinePracticeLocationAddress": "108 S 4TH ST",
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"EnumerationDate": "01/28/2022",
"LastUpdateDate": "01/28/2022",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "LEHMANN",
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}
},
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}
}