{
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"MailingAddressCityName": "REDLANDS",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "347 ARROWVIEW DR",
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"PracticeLocationAddressCityName": "REDLANDS",
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"PracticeLocationAddressCountryCode": "US",
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"EnumerationDate": "12/16/2018",
"LastUpdateDate": "12/16/2018",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PT20981",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
}
}
}