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"FirstLineMailingAddress": "200 BEACON PKWY W",
"SecondLineMailingAddress": "SUITE 330",
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"MailingAddressPostalCode": "35209-3102",
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"FirstLinePracticeLocationAddress": "3400 HIGHWAY 78 E",
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"PracticeLocationAddressTelephoneNumber": "205-384-4212",
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"EnumerationDate": "11/14/2008",
"LastUpdateDate": "11/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLACKBURN",
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"AuthorizedOfficialTitle": "INTERIM PRESIDENT & CEO",
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"AuthorizedOfficialTelephoneNumber": "205-715-5901",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}