{
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"EIN": null,
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"IsOrgSubpart": "N",
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"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "18021 SKY PARK CIR",
"SecondLineMailingAddress": "BLDG. 68, STE. H&G",
"MailingAddressCityName": "IRVINE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92614-6523",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-260-0744",
"MailingAddressFaxNumber": "949-260-0750",
"FirstLinePracticeLocationAddress": "18021 SKY PARK CIR",
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"PracticeLocationAddressCityName": "IRVINE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-260-0744",
"PracticeLocationAddressFaxNumber": "949-260-0750",
"EnumerationDate": "05/31/2006",
"LastUpdateDate": "04/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEBAWI",
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"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "949-260-0744",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "A46833",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}