{
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"OtherLastName": "FLACH",
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"OtherCredential": "RN",
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"FirstLineMailingAddress": "526 BILL DORRIS RD",
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"MailingAddressCityName": "CLAY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "343 E CENTER ST",
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"PracticeLocationAddressCityName": "MADISONVILLE",
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"PracticeLocationAddressTelephoneNumber": "270-452-2420",
"PracticeLocationAddressFaxNumber": "270-452-2438",
"EnumerationDate": "02/14/2019",
"LastUpdateDate": "05/19/2022",
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"GenderCode": "F",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}