{
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"IsOrgSubpart": "N",
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"OrgName": "DIERBERGS MARKETS INC",
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"FirstLineMailingAddress": "PO BOX 1070",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTERFIELD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63006-1070",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-812-1470",
"MailingAddressFaxNumber": "636-812-1603",
"FirstLinePracticeLocationAddress": "1080 LINDEMANN RD",
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"PracticeLocationAddressCityName": "DES PERES",
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"PracticeLocationAddressTelephoneNumber": "314-238-0444",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/10/2012",
"LastUpdateDate": "04/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUENTHER",
"AuthorizedOfficialFirstName": "GREG",
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"AuthorizedOfficialTitle": "DIR OF PHCY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "636-812-1472",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "2012021344",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}