{
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"FirstLineMailingAddress": "3825 WOODCLIFF RD",
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"MailingAddressCityName": "SHERMAN OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91403-5053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-376-0228",
"MailingAddressFaxNumber": "818-788-7857",
"FirstLinePracticeLocationAddress": "501 W GLENOAKS BLVD",
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"PracticeLocationAddressCityName": "GLENDALE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "818-788-7857",
"EnumerationDate": "03/12/2009",
"LastUpdateDate": "03/12/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DAS",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pediatric Infectious Diseases Physician",
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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."
}
}
}
}