{
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"FirstLineMailingAddress": "2727 HOLLYCROFT ST STE 280W",
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"MailingAddressCityName": "GIG HARBOR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-514-6076",
"MailingAddressFaxNumber": "283-857-4119",
"FirstLinePracticeLocationAddress": "2727 HOLLYCROFT ST STE 280W",
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"PracticeLocationAddressCityName": "GIG HARBOR",
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"EnumerationDate": "04/10/2019",
"LastUpdateDate": "04/24/2019",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUZMAN",
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"AuthorizedOfficialTelephoneNumber": "253-514-6076",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}