{
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "925-718-7784",
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"PracticeLocationAddressFaxNumber": "925-718-7784",
"EnumerationDate": "01/09/2007",
"LastUpdateDate": "12/29/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
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"AuthorizedOfficialCredential": "REGISTERED NURSE",
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"Taxonomies": {
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{
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},
{
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}
]
},
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}
}