{
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"FirstLineMailingAddress": "2230 LYNN RD STE 101",
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"MailingAddressCityName": "THOUSAND OAKS",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-557-9930",
"MailingAddressFaxNumber": "805-557-9940",
"FirstLinePracticeLocationAddress": "2230 LYNN RD STE 101",
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"PracticeLocationAddressTelephoneNumber": "805-557-9930",
"PracticeLocationAddressFaxNumber": "805-557-9940",
"EnumerationDate": "06/28/2007",
"LastUpdateDate": "08/09/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POPPER",
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"AuthorizedOfficialCredential": "M.D. F.C.C.P.",
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"LicenseNumber": "A35734",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}