{
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"FirstLineMailingAddress": "PO BOX 296",
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"MailingAddressStateName": "AR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-289-0001",
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"FirstLinePracticeLocationAddress": "101 W MAIN",
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"PracticeLocationAddressCityName": "LOCKESBURG",
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"PracticeLocationAddressFaxNumber": "870-289-0002",
"EnumerationDate": "07/12/2022",
"LastUpdateDate": "07/28/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HOUSER",
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"AuthorizedOfficialCredential": "CNP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"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."
}
}
}
}