{
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"FirstLineMailingAddress": "1601 PACIFIC COAST HWY STE 150",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HERMOSA BEACH",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-571-9923",
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"FirstLinePracticeLocationAddress": "1601 PACIFIC COAST HWY STE 150",
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"PracticeLocationAddressCityName": "HERMOSA BEACH",
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"PracticeLocationAddressTelephoneNumber": "310-571-9923",
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"EnumerationDate": "01/14/2022",
"LastUpdateDate": "01/14/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAKIR",
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"AuthorizedOfficialTelephoneNumber": "310-748-8800",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}