{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "1895 ORANGE TREE LN.",
"SecondLineMailingAddress": "#201",
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"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-335-1160",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1895 ORANGE TREE LN",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/03/2015",
"LastUpdateDate": "11/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RHEE",
"AuthorizedOfficialFirstName": "JOON",
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"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "909-335-1160",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "A77852",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}