{
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"FirstLineMailingAddress": "6351 INTERSTATE 55 NORTH",
"SecondLineMailingAddress": "STE. 115-B",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "601-991-9745",
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"EnumerationDate": "11/17/2006",
"LastUpdateDate": "05/06/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THARP",
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"Taxonomies": {
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"TaxonomyName": "Optometrist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}