{
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"EIN": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "9200 TAYLORSVILLE RD STE 111",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOUISVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40299-1786",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-671-0606",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9200 TAYLORSVILLE RD",
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"PracticeLocationAddressCityName": "LOUISVILLE",
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"PracticeLocationAddressTelephoneNumber": "507-671-0606",
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"EnumerationDate": "09/28/2021",
"LastUpdateDate": "11/22/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNETT",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
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{
"TaxonomyCode": "332BC3200X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QD0000X",
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}
]
},
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}
}