{
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"FirstLineMailingAddress": "2788 S IVAN WAY",
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"MailingAddressCityName": "DENVER",
"MailingAddressStateName": "CO",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "855 INCA ST",
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"PracticeLocationAddressCityName": "DENVER",
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"EnumerationDate": "04/17/2016",
"LastUpdateDate": "04/17/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CASTRO",
"AuthorizedOfficialFirstName": "HELEN",
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"AuthorizedOfficialCredential": "LICENSED ACUPUNCTURE",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Acupuncturist",
"LicenseNumber": "ACU.0001395",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}