{
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"FirstLineMailingAddress": "9004 W SHOREWOOD DR",
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"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98040-3245",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "9004 W SHOREWOOD DR",
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"EnumerationDate": "09/06/2015",
"LastUpdateDate": "09/06/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEAN",
"AuthorizedOfficialFirstName": "GEOFFREY",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Anesthesiology",
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"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}