{
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"IsOrgSubpart": "N",
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"OrgName": "SVETLANA GENTRY, NP",
"LastName": null,
"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "719 I AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORONADO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92118-2017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-737-7226",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "719 I AVE",
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"PracticeLocationAddressCityName": "CORONADO",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-737-7226",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/28/2012",
"LastUpdateDate": "02/28/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GENTRY",
"AuthorizedOfficialFirstName": "SVETLANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "N.P.",
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"AuthorizedOfficialCredential": "N.P.",
"AuthorizedOfficialTelephoneNumber": "619-737-7226",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}