{
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"FirstLineMailingAddress": "901 N MATTHEWS RD",
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"MailingAddressStateName": "SC",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "505 THURGOOD MARSHALL HWY",
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"EnumerationDate": "07/26/2012",
"LastUpdateDate": "10/11/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "BROWN",
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"Taxonomies": {
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}
},
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}
}