{
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"FirstLineMailingAddress": "1400 S JACKSON ST",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "SEATTLE",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "206-328-2413",
"FirstLinePracticeLocationAddress": "1400 S JACKSON ST",
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"PracticeLocationAddressFaxNumber": "206-328-2413",
"EnumerationDate": "09/26/2006",
"LastUpdateDate": "07/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "LOC",
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"AuthorizedOfficialCredential": "R. PH.",
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"Taxonomies": {
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{
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},
{
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}
]
},
"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."
}
}
}
}