{
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"FirstLineMailingAddress": "114 W. CHERRY STREET",
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"MailingAddressStateName": "GA",
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"MailingAddressFaxNumber": "912-588-1002",
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"EnumerationDate": "07/30/2012",
"LastUpdateDate": "03/29/2018",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "MAGER",
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"Taxonomies": {
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"TaxonomyName": "Obstetrics & Gynecology Physician",
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"LicenseNumberStateCode": "GA",
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}
},
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}
}
}
}