{
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  "enumeration_type": "NPI-1",
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    "certification_date": "2025-04-30",
    "credential": "M.D.",
    "enumeration_date": "2006-12-16",
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      "address_1": "10486 FIRE BUCKET LOOP",
      "address_purpose": "MAILING",
      "address_type": "DOM",
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      "state": "MT",
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    {
      "address_1": "6850 UPPER BOX ELDER RD",
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      "code": "207Q00000X",
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      "status": "CLEAR",
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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": {
    "plain_english_specialty": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
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        "medicare_type": "Physician/Family Practice"
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}