{
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"EIN": null,
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"NameSuffix": null,
"Credential": "AUD",
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"OtherLastName": "MILLER",
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"OtherCredential": "M.S., CCC-A",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7379 W MONTE CRISTO AVE",
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"MailingAddressCityName": "PEORIA",
"MailingAddressStateName": "AZ",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14506 W GRANITE VALLEY DR STE 117",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUN CITY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85375-6011",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-998-3478",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/11/2006",
"LastUpdateDate": "01/27/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Audiologist",
"LicenseNumber": "DA1750",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}