{
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"FirstLineMailingAddress": "5 PARK DR",
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"MailingAddressStateName": "AR",
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"FirstLinePracticeLocationAddress": "5 PARK DR",
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"PracticeLocationAddressCityName": "HOLIDAY ISLAND",
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"EnumerationDate": "04/10/2017",
"LastUpdateDate": "04/10/2017",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NORDLIE",
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"AuthorizedOfficialTelephoneNumber": "719-200-3049",
"Taxonomies": {
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"TaxonomyName": "Assisted Living Facility",
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}
},
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}
}