{
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"FirstLineMailingAddress": "16133 VENTURA BLVD",
"SecondLineMailingAddress": "SUIT 1100",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "16133 VENTURA BLVD",
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"EnumerationDate": "04/09/2008",
"LastUpdateDate": "04/09/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ZARINNIA",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "D.M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
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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."
}
}
}
}