{
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"FirstLineMailingAddress": "34854 MORAVIAN DR",
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"FirstLinePracticeLocationAddress": "34854 MORAVIAN DR",
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"EnumerationDate": "10/26/2012",
"LastUpdateDate": "10/26/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SHEHATA",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}