{
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"FirstLinePracticeLocationAddress": "416 BONITA ST",
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"EnumerationDate": "12/26/2006",
"LastUpdateDate": "11/22/2010",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}