{
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"FirstLineMailingAddress": "3905 GLEN ABBY CIR",
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"MailingAddressCityName": "STOCKTON",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "209-462-9101",
"FirstLinePracticeLocationAddress": "2333 W MARCH LN STE A1",
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"EnumerationDate": "07/23/2007",
"LastUpdateDate": "03/11/2019",
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"AuthorizedOfficialLastName": "DE",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Infectious Disease Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}