{
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"FirstLineMailingAddress": "12641 OLD GLENN HWY SUITE #103",
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"MailingAddressCityName": "EAGLE RIVER",
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"FirstLinePracticeLocationAddress": "12641 OLD GLENN HWY SUITE #103",
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"EnumerationDate": "12/18/2008",
"LastUpdateDate": "08/09/2025",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "SZUTZ",
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"AuthorizedOfficialCredential": "DDS, MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
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}
},
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}
}
}
}