{
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"FirstLineMailingAddress": "81 CENTENNIAL LOOP STE 3",
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"MailingAddressCityName": "EUGENE",
"MailingAddressStateName": "OR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-485-1004",
"MailingAddressFaxNumber": "541-342-8491",
"FirstLinePracticeLocationAddress": "81 CENTENNIAL LOOP STE 3",
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"PracticeLocationAddressFaxNumber": "541-342-8491",
"EnumerationDate": "05/17/2013",
"LastUpdateDate": "05/17/2013",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CULP",
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"AuthorizedOfficialTelephoneNumber": "541-485-1004",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "246ZA2600X",
"TaxonomyName": "Medical Art Specialist/Technologist",
"LicenseNumber": "BAP-FA-10155567",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}