{
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"FirstLineMailingAddress": "2382 FARADAY AVENUE",
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"MailingAddressCityName": "CARLSBAD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92008-7220",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-795-5440",
"MailingAddressFaxNumber": "214-501-0299",
"FirstLinePracticeLocationAddress": "907 SE VILLAGE LOOP",
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"PracticeLocationAddressTelephoneNumber": "479-287-4748",
"PracticeLocationAddressFaxNumber": "800-454-9615",
"EnumerationDate": "07/16/2009",
"LastUpdateDate": "03/06/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOWRY",
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"Taxonomies": {
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{
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},
{
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}
]
},
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}
}