{
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"FirstLineMailingAddress": "214 14TH AVE SW",
"SecondLineMailingAddress": "SUITE 107",
"MailingAddressCityName": "SIDNEY",
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"MailingAddressPostalCode": "59270",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-488-2169",
"MailingAddressFaxNumber": "406-488-2149",
"FirstLinePracticeLocationAddress": "304 S ELLERY",
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"PracticeLocationAddressCityName": "FAIRVIEW",
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"PracticeLocationAddressTelephoneNumber": "406-742-5261",
"PracticeLocationAddressFaxNumber": "406-742-5263",
"EnumerationDate": "11/16/2006",
"LastUpdateDate": "12/08/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONTGOMERY",
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"AuthorizedOfficialTelephoneNumber": "406-488-2117",
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"TaxonomyName": "Rural Health Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}