{
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"EIN": null,
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"FirstLineMailingAddress": "PO BOX 1906",
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"MailingAddressTelephoneNumber": "601-942-8447",
"MailingAddressFaxNumber": "949-607-3442",
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"PracticeLocationAddressTelephoneNumber": "601-927-1872",
"PracticeLocationAddressFaxNumber": "949-607-3442",
"EnumerationDate": "02/06/2017",
"LastUpdateDate": "11/22/2017",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON-SIMPSON",
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"AuthorizedOfficialCredential": "PHD, FNP-BC, PNP-BC",
"AuthorizedOfficialTelephoneNumber": "601-397-6236",
"Taxonomies": {
"Taxonomy": [
{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}