{
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"OrgName": "BAYSIDE FAMILY MEDICINE CHESTERFIELD PC",
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"FirstLineMailingAddress": "31225 23 MILE RD",
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"MailingAddressCityName": "CHESTERFIELD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48047-1848",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-598-2900",
"MailingAddressFaxNumber": "586-598-2905",
"FirstLinePracticeLocationAddress": "31225 23 MILE RD",
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"PracticeLocationAddressFaxNumber": "586-598-2905",
"EnumerationDate": "09/14/2009",
"LastUpdateDate": "09/14/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RHEAUME",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"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."
}
}
}
}