{
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"FirstLineMailingAddress": "100 HICKORY ST",
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"PracticeLocationAddressFaxNumber": "252-830-0411",
"EnumerationDate": "08/30/2013",
"LastUpdateDate": "07/20/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ERICKSON",
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"Taxonomies": {
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}
},
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}
}