{
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"MailingAddressCityName": "SALT LAKE CITY",
"MailingAddressStateName": "UT",
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"FirstLinePracticeLocationAddress": "1391 E FARM HILL DR",
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"EnumerationDate": "06/22/2006",
"LastUpdateDate": "09/24/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": "1530211205",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}