{
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"EIN": null,
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"OrgName": "JONATHAN REITMAN M.D., INC.",
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"FirstLineMailingAddress": "8484 WILSHIRE BLVD",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "BEVERLY HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90211-3227",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-360-7690",
"MailingAddressFaxNumber": "310-360-7694",
"FirstLinePracticeLocationAddress": "8484 WILSHIRE BLVD",
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"PracticeLocationAddressCityName": "BEVERLY HILLS",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-360-7690",
"PracticeLocationAddressFaxNumber": "310-360-7694",
"EnumerationDate": "06/11/2008",
"LastUpdateDate": "04/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REITMAN",
"AuthorizedOfficialFirstName": "JONATHAN",
"AuthorizedOfficialMiddleName": "E",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "310-360-7690",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RA0401X",
"TaxonomyName": "Addiction Medicine (Internal Medicine) Physician",
"LicenseNumber": "A66975",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}