{
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"FirstLineMailingAddress": "4011 S MONROE MED PARK BLVD",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-825-1111",
"MailingAddressFaxNumber": "812-825-0750",
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"PracticeLocationAddressFaxNumber": "812-825-0750",
"EnumerationDate": "11/07/2014",
"LastUpdateDate": "03/22/2017",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAKEWELL",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}