{
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"FirstLineMailingAddress": "5823 WOOSTER PIKE",
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"EnumerationDate": "09/20/2006",
"LastUpdateDate": "04/22/2013",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DONALDSON",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}
]
}
}
}