{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MAURICE R MASLIAH DPM",
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"NamePrefix": null,
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"FirstLineMailingAddress": "5400 BALBOA BLVD",
"SecondLineMailingAddress": "#225",
"MailingAddressCityName": "ENCINO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91316",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-981-3344",
"MailingAddressFaxNumber": "818-981-4777",
"FirstLinePracticeLocationAddress": "5400 BALBOA BLVD STE 225",
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"PracticeLocationAddressCityName": "ENCINO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91316-5215",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-981-3344",
"PracticeLocationAddressFaxNumber": "818-981-4777",
"EnumerationDate": "04/29/2008",
"LastUpdateDate": "10/26/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANHAM",
"AuthorizedOfficialFirstName": "DEBORAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MGR",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-981-3344",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "E1951",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
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"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."
}
}
}
}