{
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"FirstLineMailingAddress": "14808 W AMELIA AVE",
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"MailingAddressCityName": "GOODYEAR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-225-7990",
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"FirstLinePracticeLocationAddress": "14808 W AMELIA AVE",
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"EnumerationDate": "03/12/2018",
"LastUpdateDate": "03/12/2018",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DRAGOMIR",
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"AuthorizedOfficialTelephoneNumber": "623-225-7990",
"Taxonomies": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}