{
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"FirstLineMailingAddress": "5402 PARKDALE DR STE 301",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST LOUIS PARK",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55416-1604",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-922-9540",
"MailingAddressFaxNumber": "952-922-9520",
"FirstLinePracticeLocationAddress": "16880 KLAMATH TRL",
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"PracticeLocationAddressTelephoneNumber": "952-435-8002",
"PracticeLocationAddressFaxNumber": "952-435-4070",
"EnumerationDate": "08/07/2017",
"LastUpdateDate": "03/17/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRIGGS",
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"AuthorizedOfficialTelephoneNumber": "952-922-9547",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}