{
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"FirstLineMailingAddress": "3221 RAPALLO PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL DORADO HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95762-5463",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5767 GREENBACK LN",
"SecondLinePracticeLocationAddress": "SUITE 200",
"PracticeLocationAddressCityName": "SACRAMENTO",
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"EnumerationDate": "09/20/2013",
"LastUpdateDate": "09/20/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MANOHAR",
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"AuthorizedOfficialTitle": "VICE PRESIDENT",
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"AuthorizedOfficialCredential": "M.D",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2080P0202X",
"TaxonomyName": "Pediatric Cardiology Physician",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}