{
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"FirstLineMailingAddress": "999 S FAIRMONT AVE",
"SecondLineMailingAddress": "SUITE 135",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-366-2031",
"MailingAddressFaxNumber": "209-366-2032",
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"EnumerationDate": "07/31/2007",
"LastUpdateDate": "03/24/2020",
"NPIDeactivationReasonCode": null,
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"AuthorizedOfficialLastName": "HOFF",
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"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}