{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "2197 CANTON ROAD",
"SecondLineMailingAddress": "105",
"MailingAddressCityName": "MARIETTA",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-581-0551",
"MailingAddressFaxNumber": "678-581-0249",
"FirstLinePracticeLocationAddress": "2197 CANTON RD",
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"PracticeLocationAddressFaxNumber": "678-581-0249",
"EnumerationDate": "04/08/2009",
"LastUpdateDate": "04/08/2009",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARTHE",
"AuthorizedOfficialFirstName": "MINDY",
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"AuthorizedOfficialTelephoneNumber": "678-581-0551",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": "2008-104933",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}