{
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"EIN": null,
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"FirstLineMailingAddress": "PO BOX 6132",
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"MailingAddressCityName": "SUN CITY WEST",
"MailingAddressStateName": "AZ",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12314 W PICERNE DR",
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"PracticeLocationAddressCityName": "SURPRISE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-574-4509",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/05/2018",
"LastUpdateDate": "01/10/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}