{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "GILMAN PODIATRY, A PROF. CORP",
"LastName": null,
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"FirstLineMailingAddress": "PO BOX 972",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODLAND HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91365-0972",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-905-1000",
"MailingAddressFaxNumber": "818-342-1609",
"FirstLinePracticeLocationAddress": "17777 VENTURA BLVD",
"SecondLinePracticeLocationAddress": "SUITE 230",
"PracticeLocationAddressCityName": "ENCINO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91316-3736",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-905-1000",
"PracticeLocationAddressFaxNumber": "818-342-1609",
"EnumerationDate": "07/10/2010",
"LastUpdateDate": "08/09/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILMAN KLINE",
"AuthorizedOfficialFirstName": "ROSE",
"AuthorizedOfficialMiddleName": "DIANE",
"AuthorizedOfficialTitle": "PRES. SEC.",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "818-905-1000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "E2775",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}