{
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"FirstLinePracticeLocationAddress": "3220 6TH AVE NE UNIT B",
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"EnumerationDate": "10/02/2025",
"LastUpdateDate": "10/02/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRIS",
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"AuthorizedOfficialTelephoneNumber": "401-464-1697",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}