{
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"FirstLinePracticeLocationAddress": "2100 24TH ST STE 4",
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"EnumerationDate": "07/31/2019",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "JACOBO",
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"AuthorizedOfficialTelephoneNumber": "661-364-8323",
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"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}