{
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"FirstLineMailingAddress": "263 INDIAN HEAD ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIBBY",
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"MailingAddressPostalCode": "59923",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "406-293-9620",
"FirstLinePracticeLocationAddress": "263 INDIAN HEAD RD",
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"PracticeLocationAddressFaxNumber": "406-293-9620",
"EnumerationDate": "08/27/2010",
"LastUpdateDate": "08/27/2010",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRANGER",
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"Taxonomies": {
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"TaxonomyName": "Local Education Agency (LEA)",
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}
},
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}
}