{
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"FirstLineMailingAddress": "5060 SUNRISE BLVD",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5060 SUNRISE BLVD",
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"EnumerationDate": "04/15/2017",
"LastUpdateDate": "04/15/2017",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "DE GUZMAN",
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"AuthorizedOfficialTelephoneNumber": "916-919-5721",
"Taxonomies": {
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"TaxonomyName": "Pediatric Dentistry",
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}
},
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}
}
}
}