{
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"FirstLineMailingAddress": "15 SW EVERETT MALL WAY STE G",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVERETT",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "425-355-5231",
"FirstLinePracticeLocationAddress": "606 120TH AVE NE",
"SecondLinePracticeLocationAddress": "BDLG D STE 100",
"PracticeLocationAddressCityName": "BELLEVUE",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-688-0223",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/28/2020",
"LastUpdateDate": "10/22/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111N00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}