{
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"FirstLineMailingAddress": "3205 SE 192ND AVE",
"SecondLineMailingAddress": "SUITE#100",
"MailingAddressCityName": "VANCOUVER",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "360-891-8030",
"FirstLinePracticeLocationAddress": "3205 SE 192ND AVE",
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"EnumerationDate": "03/04/2008",
"LastUpdateDate": "03/04/2008",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUTLER",
"AuthorizedOfficialFirstName": "PAMELA",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pediatric Dentistry",
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"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}