{
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"FirstLineMailingAddress": "1300 SW CAMPUS DR",
"SecondLineMailingAddress": "#5-7",
"MailingAddressCityName": "FEDERAL WAY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98023-5363",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "3716 PACIFIC AVE",
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"EnumerationDate": "02/02/2007",
"LastUpdateDate": "07/09/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "MD00021562",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}