{
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"FirstLineMailingAddress": "509 HAMMILL LN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "775-332-0311",
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"PracticeLocationAddressTelephoneNumber": "775-332-0300",
"PracticeLocationAddressFaxNumber": "775-332-0311",
"EnumerationDate": "11/19/2009",
"LastUpdateDate": "09/10/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Physician Assistant",
"LicenseNumber": "PA1865",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}