{
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"FirstLineMailingAddress": "34624 ARROYO DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNION CITY",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "480 REDWOOD ST",
"SecondLinePracticeLocationAddress": "SUITE 13",
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"EnumerationDate": "04/06/2010",
"LastUpdateDate": "04/06/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SETTY",
"AuthorizedOfficialFirstName": "MADHAVI",
"AuthorizedOfficialMiddleName": "RANGANATH",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "510-449-9746",
"Taxonomies": {
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"LicenseNumber": "51999",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}