{
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"FirstLineMailingAddress": "PO BOX 5245",
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"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98415-0245",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "712 MARTIN LUTHER KING JR WAY",
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"PracticeLocationAddressCityName": "TACOMA",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressTelephoneNumber": "253-383-7710",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/13/2019",
"LastUpdateDate": "09/06/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "253-433-2321",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}