{
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"EIN": null,
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"FirstLineMailingAddress": "19303 WEST 64TH TERRACE",
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"MailingAddressCityName": "SHAWNEE",
"MailingAddressStateName": "KS",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "6700 ANTIOCH STE 430",
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"PracticeLocationAddressCityName": "MERRIAM",
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"EnumerationDate": "05/04/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}