{
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"IsOrgSubpart": "N",
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"OrgName": "WASHINGTON VACCINE ASSOCIATION",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 94002",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEATTLE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98124-9402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-928-2224",
"MailingAddressFaxNumber": "888-928-2222",
"FirstLinePracticeLocationAddress": "1700 7TH AVE STE 1810",
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"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98101-1397",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-928-2224",
"PracticeLocationAddressFaxNumber": "888-928-2242",
"EnumerationDate": "04/29/2010",
"LastUpdateDate": "06/13/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "PATRICK",
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"AuthorizedOfficialTitle": "ADMINISTRATIVE DIRECTOR",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-928-2242",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": "603004554",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}