{
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"NameSuffix": null,
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"OtherCredential": "M.D.",
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"FirstLineMailingAddress": "11407 CREEKRIDGE DR",
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"MailingAddressCityName": "EDEN PRAIRIE",
"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6565 FRANCE AVE S STE 350",
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"PracticeLocationAddressCityName": "EDINA",
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"PracticeLocationAddressTelephoneNumber": "612-389-1093",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "06/21/2019",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": "48182",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}