{
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"FirstLineMailingAddress": "466 FOOTHILL BLVD # 364",
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"MailingAddressCityName": "LA CANADA",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1530 E CHEVY CHASE DR STE 204",
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"PracticeLocationAddressCityName": "GLENDALE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-230-2019",
"PracticeLocationAddressFaxNumber": "818-412-5689",
"EnumerationDate": "03/02/2011",
"LastUpdateDate": "09/21/2024",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CYRAN",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}