{
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"FirstLineMailingAddress": "13095 JAMBOREE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUSTIN",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "13095 JAMBOREE RD",
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"EnumerationDate": "02/15/2007",
"LastUpdateDate": "03/14/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "NAPLES",
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"AuthorizedOfficialCredential": "PHD MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"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."
}
}
}
}