{
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"NamePrefix": null,
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"FirstLineMailingAddress": "1700 N STATE ST",
"SecondLineMailingAddress": "SUITE 16",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-822-5644",
"MailingAddressFaxNumber": "888-258-9831",
"FirstLinePracticeLocationAddress": "1700 N STATE ST",
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"PracticeLocationAddressTelephoneNumber": "801-822-5644",
"PracticeLocationAddressFaxNumber": "888-258-9831",
"EnumerationDate": "11/06/2014",
"LastUpdateDate": "11/06/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REGINATO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "970-250-6170",
"Taxonomies": {
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}