{
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"FirstLineMailingAddress": "11506 S DISTRICT DR STE 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH JORDAN",
"MailingAddressStateName": "UT",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "11506 S DISTRICT DR STE 400",
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"EnumerationDate": "01/25/2016",
"LastUpdateDate": "01/25/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MORTENSEN",
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"AuthorizedOfficialCredential": "O.D.",
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"Taxonomies": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "5898711-9934",
"LicenseNumberStateCode": "UT",
"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."
}
}
}
}