{
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"FirstLineMailingAddress": "1350 N ESCONDIDO BLVD",
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"FirstLinePracticeLocationAddress": "909 E VALLEY PKWY",
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"PracticeLocationAddressTelephoneNumber": "760-480-1081",
"PracticeLocationAddressFaxNumber": "760-480-8833",
"EnumerationDate": "08/26/2006",
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}