{
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"FirstLineMailingAddress": "320 WILLOW STREET",
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"MailingAddressCityName": "WALLA WALLA",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"EnumerationDate": "09/21/2006",
"LastUpdateDate": "12/27/2007",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SAMEH",
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"TaxonomyName": "Clinical Pathology/Laboratory Medicine Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}