{
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"EIN": null,
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"OtherLastName": "BLACK",
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"FirstLineMailingAddress": "336 W 11TH ST",
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"MailingAddressCityName": "OAKBORO",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28129-9339",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-244-0911",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1408 EAST FRANKLIN STREET",
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"PracticeLocationAddressCityName": "MONROE",
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"PracticeLocationAddressTelephoneNumber": "704-635-2080",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/16/2014",
"LastUpdateDate": "05/16/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "45344",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}