{
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"FirstLineMailingAddress": "PO BOX 12347",
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"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "3174 CONSTITUTION DR",
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"PracticeLocationAddressCityName": "LIVERMORE",
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"EnumerationDate": "12/21/2006",
"LastUpdateDate": "12/06/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NAZARENO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "925-487-9642",
"Taxonomies": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": "1880",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}