{
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"FirstLineMailingAddress": "813 LOWER MILL BAY RD",
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"MailingAddressCityName": "KODIAK",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-486-4499",
"MailingAddressFaxNumber": "907-486-8211",
"FirstLinePracticeLocationAddress": "813 LOWER MILL BAY RD",
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"PracticeLocationAddressTelephoneNumber": "907-486-4499",
"PracticeLocationAddressFaxNumber": "907-486-8211",
"EnumerationDate": "04/07/2008",
"LastUpdateDate": "05/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOK",
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"AuthorizedOfficialTelephoneNumber": "423-290-4912",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}