{
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"FirstLineMailingAddress": "PO BOX 11112",
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"MailingAddressStateName": "AR",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7001 ROGERS AVE",
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"EnumerationDate": "12/01/2009",
"LastUpdateDate": "05/24/2010",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "JONES",
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"AuthorizedOfficialCredential": "CRNA",
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"TaxonomyName": "Certified Registered Nurse Anesthetist",
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}
},
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}
}
}
}