{
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"FirstLineMailingAddress": "1905 W. 32ND ST. SUITE 302",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JOPLIN",
"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-782-4701",
"MailingAddressFaxNumber": "417-624-5881",
"FirstLinePracticeLocationAddress": "1905 W. 32ND ST. SUITE 302",
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"EnumerationDate": "03/02/2010",
"LastUpdateDate": "03/11/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEFFENBAUGH",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
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"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."
}
}
}
}