{
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"FirstLineMailingAddress": "3811 SCHAEFER AVE",
"SecondLineMailingAddress": "STE. E",
"MailingAddressCityName": "CHINO",
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"MailingAddressPostalCode": "91710-5400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-591-1300",
"MailingAddressFaxNumber": "909-591-1377",
"FirstLinePracticeLocationAddress": "3811 SCHAEFER AVE",
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"PracticeLocationAddressTelephoneNumber": "909-591-1300",
"PracticeLocationAddressFaxNumber": "909-591-1377",
"EnumerationDate": "11/04/2015",
"LastUpdateDate": "11/05/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VU",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "D.C",
"AuthorizedOfficialTelephoneNumber": "909-591-1300",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "DC33407",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}