{
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"OrgName": "SPANISH VALLEY CLINIC PHARMACY",
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"FirstLineMailingAddress": "380 W 100 N",
"SecondLineMailingAddress": "PO BOX 308",
"MailingAddressCityName": "MONTICELLO",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84535",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-587-2116",
"MailingAddressFaxNumber": "435-587-3329",
"FirstLinePracticeLocationAddress": "5555 OLD AIRPORT RD.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPANISH VALLEY",
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"EnumerationDate": "06/25/2021",
"LastUpdateDate": "11/16/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOTHWELL",
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"AuthorizedOfficialCredential": "PHARM D",
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"Taxonomies": {
"Taxonomy": [
{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}