{
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"LastName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "PO BOX 800",
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"MailingAddressCityName": "PRICE",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84501-0800",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "28 S 100 E",
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"PracticeLocationAddressCityName": "PRICE",
"PracticeLocationAddressStateName": "UT",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/12/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUNNINGHAM",
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"AuthorizedOfficialCredential": "M.S.N., R.N.",
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"Taxonomy": {
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"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}