{
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"FirstLineMailingAddress": "6286 HEARTHSTONE AVE S",
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"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2301 WOODBRIDGE ST STE 200",
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"PracticeLocationAddressCityName": "ROSEVILLE",
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"EnumerationDate": "05/15/2025",
"LastUpdateDate": "11/16/2025",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WORIKA",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}