{
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"EIN": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1485 S COLORADO BLVD",
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"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80222-3619",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-512-0177",
"MailingAddressFaxNumber": "303-759-9375",
"FirstLinePracticeLocationAddress": "1485 S COLORADO BLVD",
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"PracticeLocationAddressTelephoneNumber": "303-512-0177",
"PracticeLocationAddressFaxNumber": "303-759-9375",
"EnumerationDate": "08/29/2006",
"LastUpdateDate": "03/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILTNER",
"AuthorizedOfficialFirstName": "JAMES",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}