{
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"FirstLineMailingAddress": "4412 S BARBUR BLVD STE 100",
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"FirstLinePracticeLocationAddress": "4412 S BARBUR BLVD STE 100",
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"EnumerationDate": "02/07/2026",
"LastUpdateDate": "02/07/2026",
"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "AUERBACH",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}