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"FirstLineMailingAddress": "5512 NE 109TH CT.",
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"EnumerationDate": "02/23/2010",
"LastUpdateDate": "02/23/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARCHER",
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"AuthorizedOfficialCredential": "D.C.",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}