{
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"FirstLineMailingAddress": "459 S CHINA LAKE BLVD STE H",
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"FirstLinePracticeLocationAddress": "459 S CHINA LAKE BLVD STE H",
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"EnumerationDate": "07/14/2006",
"LastUpdateDate": "09/11/2025",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARNOLD",
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"Taxonomies": {
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}
]
}
}
}