{
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"FirstLineMailingAddress": "PO BOX 488",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHANDLER",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85244-0488",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-895-5372",
"MailingAddressFaxNumber": "480-895-5371",
"FirstLinePracticeLocationAddress": "1761 E WARNER RD",
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"PracticeLocationAddressCityName": "TEMPE",
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"PracticeLocationAddressTelephoneNumber": "480-897-2980",
"PracticeLocationAddressFaxNumber": "480-879-2964",
"EnumerationDate": "10/10/2006",
"LastUpdateDate": "04/15/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCKINLEY",
"AuthorizedOfficialFirstName": "MIKE",
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"Taxonomies": {
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"TaxonomyName": "Community/Retail Pharmacy",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}