{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MADIGAN ARMY MEDICAL CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8804 SILCOX DR SW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98498-2102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-732-3813",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9040 A JACKSON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TACOMA",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98431-1100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-966-7522",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/13/2016",
"LastUpdateDate": "04/13/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH-FINONA",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "CAMILLE",
"AuthorizedOfficialTitle": "LPN",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "253-732-3813",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "LP00034939",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}