{
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"FirstLineMailingAddress": "19808 AHWANEE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTER RANCH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91326-4121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-403-1045",
"MailingAddressFaxNumber": "818-488-9597",
"FirstLinePracticeLocationAddress": "16648 SAN FERNANDO MISSION BLVD",
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"PracticeLocationAddressCityName": "GRANADA HILLS",
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"EnumerationDate": "04/26/2016",
"LastUpdateDate": "04/26/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PERRINE",
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"AuthorizedOfficialTelephoneNumber": "818-403-1045",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}