{
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"OrgName": "20-20 EYECARE OF UTAH LLC",
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"FirstLineMailingAddress": "373 BRAMBLEBERRY LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DRAPER",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84020-9412",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-619-8067",
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"FirstLinePracticeLocationAddress": "3544 W 6200 S",
"SecondLinePracticeLocationAddress": "UNIT #104",
"PracticeLocationAddressCityName": "TAYLORSVILLE",
"PracticeLocationAddressStateName": "UT",
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"EnumerationDate": "11/19/2009",
"LastUpdateDate": "11/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROPER",
"AuthorizedOfficialFirstName": "RONALD",
"AuthorizedOfficialMiddleName": "SCOTT",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "801-966-2020",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "51898809934",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}