{
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"FirstLineMailingAddress": "206 KENNEDY MEMORIAL DR",
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"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "218-225-2344",
"MailingAddressFaxNumber": "218-225-2485",
"FirstLinePracticeLocationAddress": "801 DORCHESTER DR",
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"EnumerationDate": "06/09/2006",
"LastUpdateDate": "12/12/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAMMI",
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"Taxonomies": {
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"TaxonomyName": "Land Ambulance",
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}
},
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}
}