{
"Npi": {
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"EIN": null,
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"NamePrefix": "MRS.",
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8806 S REDWOOD RD",
"SecondLineMailingAddress": "SUITE 103",
"MailingAddressCityName": "WEST JORDAN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84088-9337",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-495-4800",
"MailingAddressFaxNumber": "801-432-7107",
"FirstLinePracticeLocationAddress": "8806 S REDWOOD RD",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "WEST JORDAN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-495-4800",
"PracticeLocationAddressFaxNumber": "801-432-7107",
"EnumerationDate": "09/09/2009",
"LastUpdateDate": "09/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Audiologist",
"LicenseNumber": "4830696-4101",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}