{
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"FirstLineMailingAddress": "2874 N CARSON ST STE 225",
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"MailingAddressCityName": "CARSON CITY",
"MailingAddressStateName": "NV",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2874 N CARSON ST STE 225",
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"PracticeLocationAddressCityName": "CARSON CITY",
"PracticeLocationAddressStateName": "NV",
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"PracticeLocationAddressTelephoneNumber": "774-882-3277",
"PracticeLocationAddressFaxNumber": "775-882-3277",
"EnumerationDate": "03/15/2013",
"LastUpdateDate": "03/15/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROMANESCHI",
"AuthorizedOfficialFirstName": "BRIAN",
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"AuthorizedOfficialTelephoneNumber": "775-882-3277",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}