{
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"FirstLineMailingAddress": "3850 RIVERLAKES DR",
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"MailingAddressFaxNumber": "661-679-1975",
"FirstLinePracticeLocationAddress": "3850 RIVERLAKES DR",
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"EnumerationDate": "02/20/2008",
"LastUpdateDate": "02/20/2008",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOULDOUKIAN",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": "CA",
"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."
}
}
}
}