{
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  "enumeration_type": "NPI-1",
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    "credential": "M.D.",
    "enumeration_date": "2010-09-24",
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      "address_1": "24 JOLIET ST",
      "address_purpose": "LOCATION",
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      "city": "DYER",
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    {
      "address_1": "PO BOX 781076",
      "address_purpose": "MAILING",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "317-865-1479",
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      "license": "MD457478",
      "primary": false,
      "state": "PA",
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    {
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      "state": "IN",
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      "excluded": false,
      "status": "CLEAR",
      "matches": [],
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    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
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  "medicare_utilization": null,
  "enrichment": {
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        "medicare_code": "C6",
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}