{
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  "enumeration_type": "NPI-1",
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    "certification_date": "2022-07-26",
    "credential": "M.D.",
    "enumeration_date": "2016-07-04",
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    "sex": "M",
    "sole_proprietor": "YES",
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    {
      "address_1": "877 JEFFERSON AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "desc": "Surgery",
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    },
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      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
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}