{
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"FirstLineMailingAddress": "6203 AGENCY LOOP ROAD",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-258-4517",
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"FirstLinePracticeLocationAddress": "6203 AGENCY LOOP RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-258-4517",
"PracticeLocationAddressFaxNumber": "509-258-7152",
"EnumerationDate": "10/06/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILES",
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"AuthorizedOfficialTelephoneNumber": "509-258-4517",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}