{
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"FirstLineMailingAddress": "207 E 2ND STREET",
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"FirstLinePracticeLocationAddress": "207 E 2ND STREET",
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"EnumerationDate": "10/05/2026",
"LastUpdateDate": "10/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CULP",
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"AuthorizedOfficialCredential": "LMT",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}