{
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"FirstLineMailingAddress": "134 BYNUM ACRES DR",
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"MailingAddressCityName": "ANNISTON",
"MailingAddressStateName": "AL",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "906 NORTH ST E",
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"PracticeLocationAddressCityName": "TALLADEGA",
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"EnumerationDate": "02/11/2011",
"LastUpdateDate": "04/26/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDWARDS",
"AuthorizedOfficialFirstName": "DEBORAH",
"AuthorizedOfficialMiddleName": "DENSON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "256-268-8383",
"Taxonomies": {
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{
"TaxonomyCode": "332H00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"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."
}
}
}
}