{
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"FirstLineMailingAddress": "PO BOX 108",
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"MailingAddressPostalCode": "72316-0108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-838-7445",
"MailingAddressFaxNumber": "870-838-7492",
"FirstLinePracticeLocationAddress": "611 W LEE AVE",
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"EnumerationDate": "04/15/2009",
"LastUpdateDate": "04/15/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
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"AuthorizedOfficialTelephoneNumber": "870-838-7445",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}