{
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"FirstLineMailingAddress": "2804 TOLEDO RD",
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"MailingAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "574-875-7687",
"EnumerationDate": "08/04/2006",
"LastUpdateDate": "01/04/2019",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEEBER",
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"Taxonomies": {
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"TaxonomyName": "Land Ambulance",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}