{
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"FirstLineMailingAddress": "11500 W OLYMPIC BLVD STE 420",
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"MailingAddressFaxNumber": "310-479-9796",
"FirstLinePracticeLocationAddress": "11500 W OLYMPIC BLVD STE 420",
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"PracticeLocationAddressFaxNumber": "310-479-9796",
"EnumerationDate": "09/16/2006",
"LastUpdateDate": "03/13/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELANETZ-BURSIN",
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"AuthorizedOfficialCredential": "PSY.D.",
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"Taxonomies": {
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"TaxonomyName": "Psychologist",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}