{
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"FirstLineMailingAddress": "125 E 50TH ST",
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"MailingAddressCityName": "GARDEN CITY",
"MailingAddressStateName": "ID",
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"FirstLinePracticeLocationAddress": "125 E 50TH ST",
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"EnumerationDate": "03/21/2014",
"LastUpdateDate": "03/21/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCOTT",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}