{
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"FirstLineMailingAddress": "PO BOX 51658",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "714-964-9062",
"FirstLinePracticeLocationAddress": "11190 WARNER AVE",
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"PracticeLocationAddressFaxNumber": "714-964-9062",
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "01/18/2016",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "LE",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}