{
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"FirstLineMailingAddress": "207 S 16TH ST STE A",
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"MailingAddressCityName": "AURORA",
"MailingAddressStateName": "NE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-694-0181",
"MailingAddressFaxNumber": "402-694-0182",
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"EnumerationDate": "02/04/2011",
"LastUpdateDate": "06/27/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "GRIESS",
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"Taxonomies": {
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"TaxonomyName": "Chiropractor",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}