{
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"FirstLineMailingAddress": "221 WESTLAKE DR",
"SecondLineMailingAddress": "UNIT 6",
"MailingAddressCityName": "SAN MARCOS",
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"FirstLinePracticeLocationAddress": "3605 VISTA WAY # 258",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/24/2009",
"LastUpdateDate": "02/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}