{
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"FirstLineMailingAddress": "1920 MARENGO ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90033-1317",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-223-4462",
"MailingAddressFaxNumber": "323-225-5844",
"FirstLinePracticeLocationAddress": "1920 MARENGO ST",
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"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-223-4462",
"PracticeLocationAddressFaxNumber": "323-225-5844",
"EnumerationDate": "10/05/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "RN241895",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}