{
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"FirstLineMailingAddress": "1100 MERCER AVENUE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DECATUR",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46733",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "260-724-2145",
"MailingAddressFaxNumber": "260-589-8369",
"FirstLinePracticeLocationAddress": "1350 WEST MAIN STREET",
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"PracticeLocationAddressCityName": "BERNE",
"PracticeLocationAddressStateName": "IN",
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"PracticeLocationAddressTelephoneNumber": "260-589-3173",
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"EnumerationDate": "12/31/2012",
"LastUpdateDate": "06/06/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHEELER",
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"AuthorizedOfficialCredential": "CPA",
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"Taxonomies": {
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"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}