{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BRANDTS DRUGS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "BOX 651",
"SecondLineMailingAddress": "1964 SO. MOREY RD",
"MailingAddressCityName": "LAKE CITY",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49651-9380",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-839-7207",
"MailingAddressFaxNumber": "231-839-4142",
"FirstLinePracticeLocationAddress": "1964 SO. MOREY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE CITY",
"PracticeLocationAddressStateName": "MI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-839-7207",
"PracticeLocationAddressFaxNumber": "231-839-4142",
"EnumerationDate": "10/12/2006",
"LastUpdateDate": "02/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRANDT",
"AuthorizedOfficialFirstName": "GREGORY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "231-839-7207",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacy",
"LicenseNumber": "5301003542",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}