{
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"FirstLineMailingAddress": "4643 BEVERLY BLVD",
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"EnumerationDate": "03/18/2008",
"LastUpdateDate": "03/18/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANTONIO",
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"AuthorizedOfficialTelephoneNumber": "323-461-4183",
"Taxonomies": {
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"TaxonomyName": "General Practice Physician",
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"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."
}
}
}
}