{
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"FirstLineMailingAddress": "2111 SW 35TH AVE",
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"FirstLinePracticeLocationAddress": "9900 BREN RD E, MAIL ROUTE MN 008-B213",
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"PracticeLocationAddressCityName": "MINNETONKA",
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"EnumerationDate": "06/09/2016",
"LastUpdateDate": "09/14/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Nurse Practitioner",
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"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}