{
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"FirstLineMailingAddress": "200 N MULLAN RD STE 118",
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"MailingAddressStateName": "WA",
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"EnumerationDate": "01/02/2008",
"LastUpdateDate": "06/03/2009",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARXER",
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"AuthorizedOfficialMiddleName": "CORNEL",
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"AuthorizedOfficialCredential": "O.D.",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}