{
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"FirstLineMailingAddress": "4087 SE THELMA LANE",
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"MailingAddressCityName": "PORT ORCHARD",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1616 SE ELLIS CT",
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"PracticeLocationAddressCityName": "PORT ORCHARD",
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"PracticeLocationAddressTelephoneNumber": "360-621-2934",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/13/2010",
"LastUpdateDate": "11/08/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"LicenseNumber": "MA60182494",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}