{
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"FirstLineMailingAddress": "16011 N DYSART RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SURPRISE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-974-4959",
"MailingAddressFaxNumber": "623-974-4840",
"FirstLinePracticeLocationAddress": "16011 N DYSART RD",
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"PracticeLocationAddressFaxNumber": "623-974-4840",
"EnumerationDate": "01/28/2008",
"LastUpdateDate": "07/25/2008",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLDAWAY",
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"AuthorizedOfficialTelephoneNumber": "623-974-4959",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Local Education Agency (LEA)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}