{
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"FirstLineMailingAddress": "PO BOX 12257",
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"FirstLinePracticeLocationAddress": "1601 DOVE ST",
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"EnumerationDate": "07/23/2014",
"LastUpdateDate": "07/23/2014",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "FLIEDNER",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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}
},
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}
}
}
}