{
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"FirstLineMailingAddress": "606 4TH ST # 520",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "308-536-2431",
"MailingAddressFaxNumber": "308-536-2432",
"FirstLinePracticeLocationAddress": "606 4TH ST",
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"PracticeLocationAddressCityName": "FULLERTON",
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"PracticeLocationAddressTelephoneNumber": "308-536-2431",
"PracticeLocationAddressFaxNumber": "308-536-2432",
"EnumerationDate": "02/01/2023",
"LastUpdateDate": "02/01/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "308-550-0225",
"Taxonomies": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}