{
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"FirstLineMailingAddress": "PO BOX 1697",
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"MailingAddressCityName": "ARCADIA",
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"MailingAddressPostalCode": "91077-1697",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-403-0348",
"MailingAddressFaxNumber": "626-403-0559",
"FirstLinePracticeLocationAddress": "10 CONGRESS STREET",
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"PracticeLocationAddressCityName": "PASADENA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-403-0348",
"PracticeLocationAddressFaxNumber": "626-403-0559",
"EnumerationDate": "05/16/2007",
"LastUpdateDate": "10/27/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAHMOOD",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pulmonary Disease Physician",
"LicenseNumber": "A72627",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}