{
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"FirstLineMailingAddress": "890 OAK ST SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALEM",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97301-3905",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-814-1938",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1000 SE UGLOW AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "OR",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/25/2026",
"LastUpdateDate": "06/25/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REILLY",
"AuthorizedOfficialFirstName": "CARLA",
"AuthorizedOfficialMiddleName": "TENNEIL",
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"AuthorizedOfficialTelephoneNumber": "503-814-1941",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}