{
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"FirstLineMailingAddress": "7505 SANDIFUR PKWY",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7505 SANDIFUR PKWY",
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"PracticeLocationAddressTelephoneNumber": "509-567-7160",
"PracticeLocationAddressFaxNumber": "509-567-7178",
"EnumerationDate": "06/27/2020",
"LastUpdateDate": "01/04/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAMIDI",
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"AuthorizedOfficialCredential": "RPH",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}