{
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"FirstLineMailingAddress": "2118 N ALDER ST",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2711 N 21ST ST",
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"PracticeLocationAddressCityName": "TACOMA",
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"EnumerationDate": "01/05/2026",
"LastUpdateDate": "01/05/2026",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HELLENKAMP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}