{
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"FirstLineMailingAddress": "3610 W LAMONT RD",
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"MailingAddressTelephoneNumber": "208-391-7811",
"MailingAddressFaxNumber": "208-493-9900",
"FirstLinePracticeLocationAddress": "3610 W LAMONT RD",
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"EnumerationDate": "02/03/2023",
"LastUpdateDate": "05/17/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FOSTER",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "208-780-9998",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}