{
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"IsOrgSubpart": "N",
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"OrgName": "ORBIT MEDICAL OF SEATTLE INC",
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"FirstLineMailingAddress": "716 E 4500 S",
"SecondLineMailingAddress": "SUITE 260 S",
"MailingAddressCityName": "SALT LAKE CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84107-3076",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-713-2020",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "912 INDUSTRY DRIVE BUILDING 22",
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"PracticeLocationAddressCityName": "TUKWILA",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98188-3412",
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"PracticeLocationAddressTelephoneNumber": "206-375-3214",
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"EnumerationDate": "10/06/2009",
"LastUpdateDate": "06/24/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GALLUP",
"AuthorizedOfficialFirstName": "ROBERT",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "801-713-2020",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1532462",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}