{
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"FirstLineMailingAddress": "1241 S SOTO ST STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90023-2666",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-264-3288",
"MailingAddressFaxNumber": "323-264-0288",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"EnumerationDate": "01/30/2009",
"LastUpdateDate": "01/30/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUDMUNSEN",
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"AuthorizedOfficialCredential": "L.AC.,O.M.D., PH.D",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Acupuncturist",
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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."
}
}
}
}