{
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"FirstLinePracticeLocationAddress": "1405 REPUBLIC ST APT 9",
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"PracticeLocationAddressCityName": "CINCINNATI",
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"EnumerationDate": "07/29/2021",
"LastUpdateDate": "07/29/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEWIS",
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"AuthorizedOfficialTelephoneNumber": "513-807-7243",
"Taxonomies": {
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{
"TaxonomyCode": "347C00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343900000X",
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}
]
},
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}
}