{
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"FirstLineMailingAddress": "2980 N BEVERLY GLEN CIR",
"SecondLineMailingAddress": "SUITE 301",
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90077-1726",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-474-9809",
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"FirstLinePracticeLocationAddress": "7400 E CRESTLINE CIR",
"SecondLinePracticeLocationAddress": "SUITE 230",
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"PracticeLocationAddressStateName": "CO",
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"EnumerationDate": "02/16/2012",
"LastUpdateDate": "02/16/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VIEREGGER",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Non-Pharmacy Dispensing Site",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}