{
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"NamePrefix": null,
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"FirstLineMailingAddress": "1012 N VERMONT AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90029-2620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-665-4465",
"MailingAddressFaxNumber": "323-665-7365",
"FirstLinePracticeLocationAddress": "1012 N VERMONT AVE",
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"PracticeLocationAddressFaxNumber": "323-665-7365",
"EnumerationDate": "11/21/2006",
"LastUpdateDate": "11/05/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRIGORIAN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "323-665-4465",
"Taxonomies": {
"Taxonomy": [
{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}