{
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"FirstLineMailingAddress": "1618 LAUREL AVE",
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"MailingAddressCityName": "REDLANDS",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-792-6050",
"MailingAddressFaxNumber": "909-798-8341",
"FirstLinePracticeLocationAddress": "1618 LAUREL AVE",
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"PracticeLocationAddressFaxNumber": "909-798-8341",
"EnumerationDate": "09/30/2005",
"LastUpdateDate": "02/28/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRASWELL",
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"AuthorizedOfficialTelephoneNumber": "909-795-3821",
"Taxonomies": {
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{
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},
{
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}
]
},
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}
}