{
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"FirstLineMailingAddress": "10800 PARAMOUNT BLVD #207",
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"MailingAddressCityName": "DOWNEY",
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"MailingAddressPostalCode": "90241-3331",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-862-6525",
"MailingAddressFaxNumber": "562-862-6526",
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"EnumerationDate": "07/19/2013",
"LastUpdateDate": "10/08/2019",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEEYOON",
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"AuthorizedOfficialTitle": "OWNER/DENTIST",
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"AuthorizedOfficialTelephoneNumber": "562-862-6525",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "50777",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}