{
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"FirstLineMailingAddress": "PO BOX 213",
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"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "101 W MONTANA AVE",
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"PracticeLocationAddressCityName": "ROSLYN",
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"EnumerationDate": "01/12/2023",
"LastUpdateDate": "01/04/2024",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARMITSTEAD",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}