{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "600 N MOUNTAIN AVE",
"SecondLineMailingAddress": "STE A104",
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"MailingAddressPostalCode": "91786-4359",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-931-1033",
"MailingAddressFaxNumber": "909-981-8976",
"FirstLinePracticeLocationAddress": "1798 N GAREY AVE",
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"PracticeLocationAddressCityName": "POMONA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/26/2013",
"LastUpdateDate": "04/26/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RODRIGUES",
"AuthorizedOfficialFirstName": "DARRYL",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "909-931-1033",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "G74969",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}