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"FirstLineMailingAddress": "685 TWELVE BRIDGES DR STE F",
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"PracticeLocationAddressCityName": "AUBURN",
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"EnumerationDate": "05/05/2023",
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"AuthorizedOfficialLastName": "PHAM",
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"AuthorizedOfficialTelephoneNumber": "510-551-3804",
"Taxonomies": {
"Taxonomy": [
{
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}