{
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"EIN": null,
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"OtherLastName": "KURTZHALS BROWN",
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"OtherCredential": "M.D.",
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"FirstLineMailingAddress": "PO BOX 33865",
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"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "894 ROSEBERRY DR",
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"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-962-6868",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/17/2006",
"LastUpdateDate": "07/31/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": "A75524",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}