{
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"FirstLineMailingAddress": "6301 MOUNTAIN VISTA ST.",
"SecondLineMailingAddress": "SUITE 101",
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"MailingAddressTelephoneNumber": "702-940-2650",
"MailingAddressFaxNumber": "702-933-4289",
"FirstLinePracticeLocationAddress": "6301 MOUNTAIN VISTA ST.",
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"PracticeLocationAddressTelephoneNumber": "702-777-1200",
"PracticeLocationAddressFaxNumber": "702-933-4289",
"EnumerationDate": "05/20/2006",
"LastUpdateDate": "09/29/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHRISTOPHERSON",
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"AuthorizedOfficialTelephoneNumber": "702-940-2629",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}