{
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"FirstLineMailingAddress": "19735 10TH AVE NE",
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"FirstLinePracticeLocationAddress": "19735 10TH AVE NE",
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"EnumerationDate": "02/08/2007",
"LastUpdateDate": "09/02/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SHLIFER",
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"LicenseNumberStateCode": "WA",
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}
},
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}
}
}
}