{
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"FirstLineMailingAddress": "116 NORFOLK",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "318-345-5148",
"FirstLinePracticeLocationAddress": "116 NORFOLK PL",
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"EnumerationDate": "12/28/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
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"Taxonomies": {
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"TaxonomyName": "Non-emergency Medical Transport (VAN)",
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}
},
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}
}