{
"address_line1": "6580 Harmon Course",
"address_line2": "Suite 565",
"city": "West Carolyn",
"created_date": "2021-04-14T18:21:58Z",
"deleted_date": null,
"email": null,
"fax": "890-372-3727",
"id": 140754475155703,
"is_primary": true,
"name": "Chambers Group",
"phone": "400.2942x8551",
"place_of_service": null,
"practice": 140754475089924,
"state": "UT",
"status": "active",
"zip": "05056"
}