{
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"OrgName": "RAHN OPTOMETRY INC",
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"FirstLineMailingAddress": "1130 W. FRONTAGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OWATONNA",
"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-446-8677",
"MailingAddressFaxNumber": "507-446-8679",
"FirstLinePracticeLocationAddress": "1130 W. FRONTAGE RD",
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"PracticeLocationAddressCityName": "OWATONNA",
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"EnumerationDate": "12/18/2008",
"LastUpdateDate": "12/18/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "RAHN",
"AuthorizedOfficialFirstName": "JOHN",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "952-201-9558",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "2786",
"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."
}
}
}
}