{
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"FirstLineMailingAddress": "19 MILLER DR",
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"MailingAddressFaxNumber": "606-674-2451",
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"EnumerationDate": "08/10/2007",
"LastUpdateDate": "03/14/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITAKER",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "859-585-4573",
"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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},
{
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"LicenseNumber": "P07202",
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}
]
},
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}
}