{
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"FirstLineMailingAddress": "PO BOX 15299",
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"MailingAddressCityName": "SAVANNAH",
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"MailingAddressPostalCode": "31416-1999",
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"MailingAddressFaxNumber": "912-826-4825",
"FirstLinePracticeLocationAddress": "7360 SKIDAWAY RD",
"SecondLinePracticeLocationAddress": "SUITE H2",
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"EnumerationDate": "08/07/2014",
"LastUpdateDate": "09/18/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANFIELD",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}