{
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"FirstLineMailingAddress": "5151 EDINA INDUSTRIAL BLVD",
"SecondLineMailingAddress": "STE 110",
"MailingAddressCityName": "EDINA",
"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5151 EDINA INDUSTRIAL BLVD",
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"EnumerationDate": "01/20/2011",
"LastUpdateDate": "01/20/2011",
"NPIDeactivationReasonCode": null,
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"AuthorizedOfficialLastName": "GUERRERO",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatry Physician",
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"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}