{
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"FirstLineMailingAddress": "1000 E LATHAM AVE STE E",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "951-925-2211",
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"EnumerationDate": "05/08/2008",
"LastUpdateDate": "05/08/2008",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "LU",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Respiratory/Developmental/Rehabilitative Specialist/Technologist",
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"LicenseNumberStateCode": "CA",
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}
},
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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."
}
}
}
}