{
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"FirstLineMailingAddress": "524 W BICKMORE CIR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-635-1001",
"MailingAddressFaxNumber": "435-266-1002",
"FirstLinePracticeLocationAddress": "690 INDUSTRIAL RD STE 3",
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"PracticeLocationAddressCityName": "ST GEORGE",
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"EnumerationDate": "03/02/2026",
"LastUpdateDate": "03/02/2026",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAGLER",
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"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}