{
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"FirstLineMailingAddress": "6234 WOODSTONE WAY",
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"MailingAddressCityName": "MORROW",
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"FirstLinePracticeLocationAddress": "2330 SCENIC HWY S",
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"EnumerationDate": "02/25/2015",
"LastUpdateDate": "02/25/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TATUM",
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"AuthorizedOfficialTelephoneNumber": "470-839-0797",
"Taxonomies": {
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"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}