{
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"FirstLineMailingAddress": "20 E AIRPORT ROAD",
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"MailingAddressTelephoneNumber": "800-684-9343",
"MailingAddressFaxNumber": "888-684-8414",
"FirstLinePracticeLocationAddress": "31941 HAMILTON CREEK SCHOOL ROAD",
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"PracticeLocationAddressFaxNumber": "888-684-8414",
"EnumerationDate": "05/20/2008",
"LastUpdateDate": "04/10/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HALAJ",
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"AuthorizedOfficialCredential": "PHD",
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"Taxonomies": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}