{
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"EIN": null,
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"Credential": null,
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"OtherLastName": "TURNER",
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"FirstLineMailingAddress": "10414 S VAN NESS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "5436 S BROADWAY",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-234-6261",
"PracticeLocationAddressFaxNumber": "323-234-6265",
"EnumerationDate": "02/03/2012",
"LastUpdateDate": "02/03/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": "01-094375",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}