{
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"FirstLineMailingAddress": "4910 DIRECTORS PL STE 350",
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"MailingAddressCityName": "SAN DIEGO",
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"MailingAddressPostalCode": "92121-3834",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "858-346-7171",
"MailingAddressFaxNumber": "858-453-7314",
"FirstLinePracticeLocationAddress": "7625 MESA COLLEGE DR STE 310A",
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"EnumerationDate": "06/22/2010",
"LastUpdateDate": "05/06/2025",
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"NPIReactivationDate": null,
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"Gender": null,
"AuthorizedOfficialLastName": "SHERMAN",
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"AuthorizedOfficialCredential": "DO",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "20A9789",
"LicenseNumberStateCode": "CA",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}