{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "PINNACLE HEALTH SYSTEM",
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"NamePrefix": null,
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"FirstLineMailingAddress": "12720 34 MILE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRUCE TWP",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48065-3220",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-381-8121",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "205 S FRONT ST",
"SecondLinePracticeLocationAddress": "BRADY BUILDING GME OFFICE BRADY 9",
"PracticeLocationAddressCityName": "HARRISBURG",
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"PracticeLocationAddressTelephoneNumber": "717-231-8724",
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"EnumerationDate": "06/23/2016",
"LastUpdateDate": "06/23/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERRERA-MARTINEZ",
"AuthorizedOfficialFirstName": "MIGUEL",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QP2300X",
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"LicenseNumber": "MT211930",
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},
{
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}
]
},
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}
}