{
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"FirstLineMailingAddress": "3286 S WELSUMMER AVE",
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"MailingAddressCityName": "ONTARIO",
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"MailingAddressPostalCode": "91761-7977",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-862-1958",
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"FirstLinePracticeLocationAddress": "1493 E FOOTHILL BLVD",
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"PracticeLocationAddressCityName": "UPLAND",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "909-946-1361",
"EnumerationDate": "07/22/2021",
"LastUpdateDate": "07/22/2021",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATEL",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}