{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "SUPAK",
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    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2488858211",
    "authorized_official_title_or_position": "Not applicable",
    "certification_date": "2022-10-14",
    "enumeration_date": "2012-07-27",
    "last_updated": "2022-10-14",
    "organization_name": "A3 MEDICAL",
    "organizational_subpart": "NO",
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      "address_1": "4050 W MAPLE ROAD",
      "address_2": "SUITE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "248-855-8357",
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      "code": "207Q00000X",
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      "state": "MI",
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    },
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      "code": "261QU0200X",
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      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "207R00000X",
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      "state": "MI",
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      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
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  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
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}