{
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"FirstLineMailingAddress": "32315 MISSION BLVD",
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"MailingAddressCityName": "HAYWARD",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-475-0999",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "32315 MISSION BLVD",
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"PracticeLocationAddressCityName": "HAYWARD",
"PracticeLocationAddressStateName": "CA",
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"EnumerationDate": "11/03/2014",
"LastUpdateDate": "11/03/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRAN",
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"AuthorizedOfficialMiddleName": "VAN",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "53036",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}