{
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"FirstLineMailingAddress": "1 PAGE AVE STE 118",
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"MailingAddressCityName": "ASHEVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28801-2391",
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"MailingAddressTelephoneNumber": "828-253-3533",
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"EnumerationDate": "01/17/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIKOLICH",
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"TaxonomyName": "Optometrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}