{
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"FirstLineMailingAddress": "31310 36TH AVE SW",
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"MailingAddressCityName": "FEDERAL WAY",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "6201 PACIFIC AVE STE C3",
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"PracticeLocationAddressCountryCode": "US",
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"EnumerationDate": "11/12/2018",
"LastUpdateDate": "11/12/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}