{
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"FirstLineMailingAddress": "14800 W MOUNTAIN VIEW BLVD",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "SURPRISE",
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"MailingAddressPostalCode": "85374-4795",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-584-3734",
"MailingAddressFaxNumber": "480-584-3744",
"FirstLinePracticeLocationAddress": "14800 W MOUNTAIN VIEW BLVD",
"SecondLinePracticeLocationAddress": "SUITE 210",
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"PracticeLocationAddressTelephoneNumber": "480-584-3734",
"PracticeLocationAddressFaxNumber": "480-584-3744",
"EnumerationDate": "08/06/2014",
"LastUpdateDate": "08/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "770-825-6550",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}