{
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"FirstLineMailingAddress": "1535 CLEMSON DR",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "MN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6345 XERXES AVE S",
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"PracticeLocationAddressCityName": "RICHFIELD",
"PracticeLocationAddressStateName": "MN",
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"PracticeLocationAddressTelephoneNumber": "612-866-0069",
"PracticeLocationAddressFaxNumber": "612-866-6215",
"EnumerationDate": "10/27/2010",
"LastUpdateDate": "10/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SWEDEAN",
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"AuthorizedOfficialTelephoneNumber": "651-688-8245",
"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}