{
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"FirstLineMailingAddress": "PO BOX 496084",
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"MailingAddressCityName": "REDDING",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "530-241-0473",
"MailingAddressFaxNumber": "530-241-5377",
"FirstLinePracticeLocationAddress": "10884 SANTA MONICA BLVD",
"SecondLinePracticeLocationAddress": "SUITE 402",
"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressTelephoneNumber": "310-446-4647",
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"EnumerationDate": "01/24/2011",
"LastUpdateDate": "01/24/2011",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAHERI",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}