{
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"FirstLineMailingAddress": "2728 SE 16TH PL",
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"FirstLinePracticeLocationAddress": "2728 SE 16TH PL",
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"EnumerationDate": "10/18/2012",
"LastUpdateDate": "10/18/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "LEVITINA",
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"Taxonomies": {
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}
},
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}
}