{
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"FirstLineMailingAddress": "530 RIOLA PL",
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"MailingAddressCityName": "PENSACOLA",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "530 RIOLA PL",
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"EnumerationDate": "11/07/2016",
"LastUpdateDate": "05/08/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MCCORMACK",
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"Taxonomies": {
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"TaxonomyName": "Family Nurse Practitioner",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}