{
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"FirstLineMailingAddress": "1204 NW 6TH ST",
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"MailingAddressTelephoneNumber": "541-476-8224",
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"EnumerationDate": "10/20/2006",
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"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANTIELLO",
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"AuthorizedOfficialCredential": "BS",
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{
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},
{
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}
]
},
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}
}