{
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"FirstLineMailingAddress": "9500 ORMSBY STATION RD STE 400",
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"FirstLinePracticeLocationAddress": "1024 NW 47TH ST STE C",
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"PracticeLocationAddressCityName": "OKLAHOMA CITY",
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"EnumerationDate": "11/10/2025",
"LastUpdateDate": "11/10/2025",
"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "ECKMANN",
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"AuthorizedOfficialTelephoneNumber": "502-314-0146",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}