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  "admin_name": "JACKSON, STAN",
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  "fax_number": null,
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  "address_line1": "1931 MALCOLM PLACE ROAD",
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  "city_name": "CRAWFORDVILLE",
  "zip_code": "30631",
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  "state_code": "GA",
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  "source_protection_begin_date": "2023-12-05 00:00:00",
  "outstanding_performer": null,
  "outstanding_perform_begin_date": null
}
]