{
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"FirstLineMailingAddress": "PO BOX 31001-0650",
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"MailingAddressCityName": "PASADENA",
"MailingAddressStateName": "CA",
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"FirstLinePracticeLocationAddress": "516 E NIZHONI BLVD",
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"PracticeLocationAddressCityName": "GALLUP",
"PracticeLocationAddressStateName": "NM",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-722-1185",
"PracticeLocationAddressFaxNumber": "505-722-1554",
"EnumerationDate": "03/03/2007",
"LastUpdateDate": "08/05/2025",
"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "HARKER",
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"AuthorizedOfficialCredential": "PHARMD",
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"TaxonomyName": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
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"PrimaryTaxonomySwitch": "Y"
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},
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}
}