{
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"FirstLineMailingAddress": "345 MONMOUTH AVE N",
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"MailingAddressCityName": "MONMOUTH",
"MailingAddressStateName": "OR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-838-8176",
"MailingAddressFaxNumber": "503-838-8014",
"FirstLinePracticeLocationAddress": "345 MONMOUTH AVE N",
"SecondLinePracticeLocationAddress": "STUDENT HEALTH & COUNSELING CENTER",
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"PracticeLocationAddressTelephoneNumber": "503-838-8313",
"PracticeLocationAddressFaxNumber": "503-838-8801",
"EnumerationDate": "11/26/2013",
"LastUpdateDate": "11/26/2013",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SILBERNAGEL",
"AuthorizedOfficialFirstName": "DARIN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "503-838-8176",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}