{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LYNDEN BIRTH CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "200 3RD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYNDEN",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98264-1411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-510-0188",
"MailingAddressFaxNumber": "844-411-7474",
"FirstLinePracticeLocationAddress": "200 3RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LYNDEN",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98264-1411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-510-0188",
"PracticeLocationAddressFaxNumber": "844-411-7474",
"EnumerationDate": "02/18/2022",
"LastUpdateDate": "02/18/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURGESS",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "CATHERINE",
"AuthorizedOfficialTitle": "OWNER/MIDWIFE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LM, CPM, MA",
"AuthorizedOfficialTelephoneNumber": "360-510-0188",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QB0400X",
"TaxonomyName": "Birthing Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}