{
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"FirstLineMailingAddress": "15540 TEXACO AVE",
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"MailingAddressPostalCode": "90723-3922",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-220-0421",
"MailingAddressFaxNumber": "877-330-3520",
"FirstLinePracticeLocationAddress": "15540 TEXACO AVE",
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"PracticeLocationAddressCityName": "PARAMOUNT",
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"PracticeLocationAddressTelephoneNumber": "877-220-0421",
"PracticeLocationAddressFaxNumber": "877-330-3520",
"EnumerationDate": "01/22/2010",
"LastUpdateDate": "11/29/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOULOS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "562-252-2010",
"Taxonomies": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}