{
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"FirstLineMailingAddress": "8211 118TH STREET CT SW",
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"MailingAddressCityName": "LAKEWOOD",
"MailingAddressStateName": "WA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7210 40TH ST W STE 320",
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"PracticeLocationAddressCityName": "UNIVERSITY PLACE",
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"PracticeLocationAddressTelephoneNumber": "253-565-1145",
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"EnumerationDate": "06/22/2018",
"LastUpdateDate": "06/22/2018",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}