{
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"FirstLineMailingAddress": "407 CORONADO DR",
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"FirstLinePracticeLocationAddress": "407 CORONADO DR",
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"EnumerationDate": "05/05/2014",
"LastUpdateDate": "05/05/2014",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "KAMAL",
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"AuthorizedOfficialCredential": "PT, DPT",
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"Taxonomies": {
"Taxonomy": [
{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}