{
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"FirstLineMailingAddress": "168 HIGHWAY 6 E",
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"MailingAddressStateName": "MS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-506-9959",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "168 HIGHWAY 6 E",
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"EnumerationDate": "05/19/2015",
"LastUpdateDate": "05/19/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCDANIEL",
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"AuthorizedOfficialCredential": "CEAP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}