{
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"FirstLineMailingAddress": "7935 TEMPLE RD",
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"FirstLinePracticeLocationAddress": "4946 PARKSIDE AVE STE 106",
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"EnumerationDate": "09/28/2023",
"LastUpdateDate": "09/28/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "KEITH",
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"AuthorizedOfficialTelephoneNumber": "267-603-6118",
"Taxonomies": {
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"TaxonomyName": "In Home Supportive Care Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}