{
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"FirstLineMailingAddress": "16364 PINTO RIDGE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92127-3429",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "858-735-0861",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14360 BROOKHURST ST",
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"PracticeLocationAddressCityName": "GARDEN GROVE",
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"PracticeLocationAddressTelephoneNumber": "714-531-9682",
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"EnumerationDate": "04/30/2025",
"LastUpdateDate": "04/30/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUU",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Podiatric Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}