{
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"FirstLineMailingAddress": "10601 5TH AVE NE",
"SecondLineMailingAddress": "STE 201 WEST",
"MailingAddressCityName": "SEATTLE",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "206-341-1801",
"FirstLinePracticeLocationAddress": "10601 5TH AVE NE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-287-6400",
"PracticeLocationAddressFaxNumber": "206-341-1801",
"EnumerationDate": "01/18/2007",
"LastUpdateDate": "10/15/2021",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"LicenseNumber": "PT00006002",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}