{
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"FirstLineMailingAddress": "832 ROBINSON ST",
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"FirstLinePracticeLocationAddress": "200 E DEL MAR BLVD STE 160",
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"EnumerationDate": "05/01/2025",
"LastUpdateDate": "05/09/2025",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKFORD",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}