{
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"FirstLineMailingAddress": "1909 MORRIS ST NE",
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"MailingAddressCityName": "ALBUQUERQUE",
"MailingAddressStateName": "NM",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-228-1220",
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"EnumerationDate": "11/11/2019",
"LastUpdateDate": "11/11/2019",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}