{
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"FirstLineMailingAddress": "23313 SE 32ND WAY",
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"MailingAddressCityName": "SAMMAMISH",
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"FirstLinePracticeLocationAddress": "14021 NE 8TH ST STE A",
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"PracticeLocationAddressCityName": "BELLEVUE",
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"EnumerationDate": "10/12/2018",
"LastUpdateDate": "01/22/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DUAN",
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"AuthorizedOfficialTelephoneNumber": "425-463-8920",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}