{
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"FirstLineMailingAddress": "801 E. CHURCH STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENEVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37745-6219",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-798-8052",
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"FirstLinePracticeLocationAddress": "1404 TUSCULUM BLVD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-798-8052",
"PracticeLocationAddressFaxNumber": "423-798-8055",
"EnumerationDate": "05/31/2011",
"LastUpdateDate": "05/18/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APN0000015706",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}