{
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"IsOrgSubpart": "N",
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"OrgName": "CITY OF PLAZA",
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"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "409 4TH AVE COVELL ST",
"SecondLineMailingAddress": "BOX 57",
"MailingAddressCityName": "PLAZA",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58771-0057",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-720-3311",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "409 4TH AVE COVELL ST",
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"PracticeLocationAddressCityName": "PLAZA",
"PracticeLocationAddressStateName": "ND",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-497-3368",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/13/2006",
"LastUpdateDate": "04/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "GARY",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "SERVICE LEADER MANAGER",
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"AuthorizedOfficialCredential": "EMT B",
"AuthorizedOfficialTelephoneNumber": "701-497-3766",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "104",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}