{
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"FirstLineMailingAddress": "5161 W PALO ALTO AVE",
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"MailingAddressStateName": "CA",
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"FirstLinePracticeLocationAddress": "5161 W PALO ALTO AVE",
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"EnumerationDate": "09/23/2018",
"LastUpdateDate": "09/23/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVOODI ALIABAD",
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"AuthorizedOfficialTelephoneNumber": "408-482-6166",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}