{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SAM H. YOON, MD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "4161 REDONDO BEACH BLVD",
"SecondLineMailingAddress": "#100",
"MailingAddressCityName": "LAWNDALE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90260-3306",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-214-1407",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4161 REDONDO BEACH BLVD",
"SecondLinePracticeLocationAddress": "#100",
"PracticeLocationAddressCityName": "LAWNDALE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-214-1407",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2014",
"LastUpdateDate": "04/29/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOON",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "310-214-1407",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC2000X",
"TaxonomyName": "Children's Hospital",
"LicenseNumber": "1063412005",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}