{
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"FirstLineMailingAddress": "5701 KENTUCKY AVE N STE 194",
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"MailingAddressStateName": "MN",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5701 KENTUCKY AVE N STE 194",
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"PracticeLocationAddressTelephoneNumber": "763-390-6785",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/23/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EWEFADA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "763-390-6785",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}