{
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"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "212 N PRAIRIE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLANDREAU",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57028-1243",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-997-2741",
"MailingAddressFaxNumber": "605-997-2418",
"FirstLinePracticeLocationAddress": "203 N ELK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELKTON",
"PracticeLocationAddressStateName": "SD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-542-7701",
"PracticeLocationAddressFaxNumber": "605-542-7291",
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "02/16/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NORTON",
"AuthorizedOfficialFirstName": "JULIE",
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"AuthorizedOfficialTitle": "SENIOR VICE PRESIDENT OF FINANCE",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "605-322-6375",
"Taxonomies": {
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"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}