{
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"FirstLineMailingAddress": "5920 S KINGS RD",
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"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
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"MailingAddressFaxNumber": "323-299-2130",
"FirstLinePracticeLocationAddress": "933 CENTINELA AVE STE B",
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"PracticeLocationAddressFaxNumber": "310-677-7302",
"EnumerationDate": "04/17/2007",
"LastUpdateDate": "05/31/2013",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "C36494",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}