{
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"EIN": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": "OPTOMETRIST (OD)",
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"FirstLineMailingAddress": "1401 N CENTRAL AVE APT 10",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GLENDALE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91202-1892",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9420 RESEDA BLVD STE 8",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTHRIDGE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91324-6005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-646-9449",
"PracticeLocationAddressFaxNumber": "818-646-9449",
"EnumerationDate": "08/18/2017",
"LastUpdateDate": "04/21/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}