{
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"FirstLineMailingAddress": "55 SANTA CLARA AVE",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "55 SANTA CLARA AVE",
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"EnumerationDate": "09/02/2012",
"LastUpdateDate": "05/16/2016",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHELTON",
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"AuthorizedOfficialTelephoneNumber": "510-272-0777",
"Taxonomies": {
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{
"TaxonomyCode": "253Z00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}