{
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"FirstLineMailingAddress": "1436 W GLENOAKS BLVD",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "GLENDALE",
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"MailingAddressPostalCode": "91201-1984",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-409-9020",
"MailingAddressFaxNumber": "818-409-9043",
"FirstLinePracticeLocationAddress": "1436 W GLENOAKS BLVD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-409-9020",
"PracticeLocationAddressFaxNumber": "818-409-9043",
"EnumerationDate": "07/25/2013",
"LastUpdateDate": "03/14/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAYRAPETIAN",
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"AuthorizedOfficialCredential": "PHARM.D.",
"AuthorizedOfficialTelephoneNumber": "818-631-1708",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
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"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}