{
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"FirstLineMailingAddress": "5252 E MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MESA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85205-8022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-396-3222",
"MailingAddressFaxNumber": "480-396-2298",
"FirstLinePracticeLocationAddress": "5252 E MAIN ST",
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"PracticeLocationAddressTelephoneNumber": "480-396-3222",
"PracticeLocationAddressFaxNumber": "480-396-2298",
"EnumerationDate": "08/15/2007",
"LastUpdateDate": "09/08/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOLDBERG",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}