{
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"FirstLineMailingAddress": "401 N BRAND BLVD STE 242",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "747-376-8946",
"MailingAddressFaxNumber": "747-236-4253",
"FirstLinePracticeLocationAddress": "401 N BRAND BLVD STE 242",
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"EnumerationDate": "11/06/2025",
"LastUpdateDate": "11/06/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARINO",
"AuthorizedOfficialFirstName": "ELAINE MAE",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}