{
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"FirstLineMailingAddress": "2112 BRYANT PARK DR",
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"MailingAddressCityName": "CHARLOTTE",
"MailingAddressStateName": "NC",
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"FirstLinePracticeLocationAddress": "200 HAWTHORNE LN",
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"PracticeLocationAddressCityName": "CHARLOTTE",
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"PracticeLocationAddressTelephoneNumber": "704-316-4610",
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"EnumerationDate": "09/28/2017",
"LastUpdateDate": "10/09/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "41493",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}