{
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"FirstLineMailingAddress": "PO BOX 102",
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"FirstLinePracticeLocationAddress": "4575 SMITH ST",
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"EnumerationDate": "03/22/2007",
"LastUpdateDate": "03/12/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LLANAS",
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"TaxonomyName": "Land Ambulance",
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}
},
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}
}