{
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"EIN": null,
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "521 E ELM ST",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-201-7430",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "521 E ELM ST",
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"PracticeLocationAddressCityName": "LEBANON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "417-344-0586",
"PracticeLocationAddressFaxNumber": "855-532-5426",
"EnumerationDate": "05/17/2023",
"LastUpdateDate": "09/12/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELCH",
"AuthorizedOfficialFirstName": "SHANNON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "REGISTERED PHARMACIS",
"AuthorizedOfficialTelephoneNumber": "573-201-7430",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}