{
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"EIN": null,
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"FirstLineMailingAddress": "1212 NORTH VERMONT AVENUE",
"SecondLineMailingAddress": "#101",
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"MailingAddressTelephoneNumber": "323-661-7661",
"MailingAddressFaxNumber": "323-661-0747",
"FirstLinePracticeLocationAddress": "1212 N VERMONT AVE",
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"PracticeLocationAddressTelephoneNumber": "323-661-7661",
"PracticeLocationAddressFaxNumber": "323-661-0747",
"EnumerationDate": "07/12/2007",
"LastUpdateDate": "07/16/2007",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "General Practice Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}