{
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"FirstLineMailingAddress": "350 S BIXEL ST STE 150",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "213-749-4261",
"MailingAddressFaxNumber": "213-745-1040",
"FirstLinePracticeLocationAddress": "350 S BIXEL ST STE 150",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressFaxNumber": "213-745-1040",
"EnumerationDate": "04/27/2026",
"LastUpdateDate": "04/27/2026",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CELIA VALDEZ",
"AuthorizedOfficialFirstName": "CELIA VALDEZ",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}