{
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"MailingAddressCityName": "CORONA",
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"FirstLinePracticeLocationAddress": "17270 ROOSEVELT ST",
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"PracticeLocationAddressCityName": "RIVERSIDE",
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"EnumerationDate": "01/09/2019",
"LastUpdateDate": "01/09/2019",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}