{
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"FirstLineMailingAddress": "PO BOX 1197",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVANSVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47706-1197",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-450-6815",
"MailingAddressFaxNumber": "812-450-6822",
"FirstLinePracticeLocationAddress": "4840 S MAPLE TREE DR",
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"PracticeLocationAddressCityName": "PRINCETON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-387-4444",
"PracticeLocationAddressFaxNumber": "812-387-4445",
"EnumerationDate": "12/05/2014",
"LastUpdateDate": "07/31/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORGAN",
"AuthorizedOfficialFirstName": "LOIS",
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"AuthorizedOfficialTelephoneNumber": "812-385-9221",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "14-005019-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}