{
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"FirstLineMailingAddress": "2389 S HACIENDA BLVD",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-893-2198",
"MailingAddressFaxNumber": "626-333-7578",
"FirstLinePracticeLocationAddress": "2389 S HACIENDA BLVD",
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"PracticeLocationAddressTelephoneNumber": "626-893-2198",
"PracticeLocationAddressFaxNumber": "626-333-7578",
"EnumerationDate": "01/30/2013",
"LastUpdateDate": "09/06/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZHANG",
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"AuthorizedOfficialCredential": "NATUROPATHICESTHETIC",
"AuthorizedOfficialTelephoneNumber": "626-893-2198",
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}
},
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}
}