{
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"FirstLineMailingAddress": "PO BOX 1515",
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"MailingAddressCityName": "HAMMOND",
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"MailingAddressPostalCode": "70404-1515",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-542-6444",
"MailingAddressFaxNumber": "985-542-6445",
"FirstLinePracticeLocationAddress": "15715 PROFESSIONAL PLAZA",
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"PracticeLocationAddressCityName": "HAMMOND",
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"PracticeLocationAddressFaxNumber": "985-542-6445",
"EnumerationDate": "04/21/2010",
"LastUpdateDate": "09/12/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANNING",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "985-542-6444",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "LA",
"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."
}
}
}
}