{
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"FirstLineMailingAddress": "20018 N TOLEDO AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARICOPA",
"MailingAddressStateName": "AZ",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "20018 N TOLEDO AVE",
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"EnumerationDate": "10/13/2016",
"LastUpdateDate": "10/13/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALKER",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
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"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}