{
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"FirstLineMailingAddress": "2332 E GARFIELD AVE",
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"FirstLinePracticeLocationAddress": "13522 NEWPORT AVE STE 100",
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"PracticeLocationAddressCityName": "TUSTIN",
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"EnumerationDate": "01/03/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SHI",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
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}
},
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}
}
}
}