{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "7701 E GRAY RD STE 107",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCOTTSDALE",
"MailingAddressStateName": "AZ",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "9305 W THOMAS RD STE 185",
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"PracticeLocationAddressCityName": "PHOENIX",
"PracticeLocationAddressStateName": "AZ",
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"EnumerationDate": "03/22/2010",
"LastUpdateDate": "03/22/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUBERNICK",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}