{
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"FirstLineMailingAddress": "851 30TH AVE SE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-280-3169",
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"PracticeLocationAddressCityName": "ROCHESTER",
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"EnumerationDate": "04/25/2008",
"LastUpdateDate": "07/24/2008",
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"NPIDeactivationDate": "06/03/2008",
"NPIReactivationDate": "07/24/2008",
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"Gender": null,
"AuthorizedOfficialLastName": "HIGH",
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"AuthorizedOfficialTelephoneNumber": "507-280-3114",
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}
},
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}
}