{
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"FirstLineMailingAddress": "250 KING ST UNIT 1500",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN FRANCISCO",
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"MailingAddressPostalCode": "94107-5486",
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"MailingAddressTelephoneNumber": "415-680-4153",
"MailingAddressFaxNumber": "415-666-2573",
"FirstLinePracticeLocationAddress": "250 KING ST UNIT 1500",
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"PracticeLocationAddressFaxNumber": "415-666-2573",
"EnumerationDate": "09/20/2010",
"LastUpdateDate": "05/26/2022",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "HORNING",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Emergency Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}