{
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"FirstLineMailingAddress": "4924 BALBOA BLVD",
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"MailingAddressCityName": "ENCINO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91316-3402",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1701 SOLAR DR",
"SecondLinePracticeLocationAddress": "SUITE 290",
"PracticeLocationAddressCityName": "OXNARD",
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"EnumerationDate": "09/09/2013",
"LastUpdateDate": "09/09/2013",
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"AuthorizedOfficialLastName": "CAWTHON",
"AuthorizedOfficialFirstName": "FLOYD",
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"AuthorizedOfficialTelephoneNumber": "805-479-8706",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "DG 32043",
"LicenseNumberStateCode": "CA",
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}
},
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}
}
}
}