{
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"FirstLineMailingAddress": "2336 WISTERIA DR STE 420",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SNELLVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30078-6160",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-982-0014",
"MailingAddressFaxNumber": "770-982-0015",
"FirstLinePracticeLocationAddress": "2336 WISTERIA DR STE 420",
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"PracticeLocationAddressCityName": "SNELLVILLE",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressTelephoneNumber": "770-982-0014",
"PracticeLocationAddressFaxNumber": "770-982-0015",
"EnumerationDate": "06/02/2014",
"LastUpdateDate": "06/02/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAYLOR",
"AuthorizedOfficialFirstName": "CATHERINE",
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"AuthorizedOfficialCredential": "MS OTR CHT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225XH1200X",
"TaxonomyName": "Hand Occupational Therapist",
"LicenseNumber": "000565",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}