{
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"FirstLineMailingAddress": "1949 SUGARLAND DR",
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"EnumerationDate": "11/29/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SHIPLEY",
"AuthorizedOfficialFirstName": "CHARLES",
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}
},
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}
}
}
}