{
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"NamePrefix": null,
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"FirstLineMailingAddress": "750 LAS GALLINAS AVE",
"SecondLineMailingAddress": "STE 104",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-479-1930",
"MailingAddressFaxNumber": "415-479-0128",
"FirstLinePracticeLocationAddress": "750 LAS GALLINAS AVE",
"SecondLinePracticeLocationAddress": "STE 104",
"PracticeLocationAddressCityName": "SAN RAFAEL",
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"PracticeLocationAddressTelephoneNumber": "415-479-1930",
"PracticeLocationAddressFaxNumber": "415-479-0128",
"EnumerationDate": "12/18/2006",
"LastUpdateDate": "03/05/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOY",
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"AuthorizedOfficialTitle": "OWNER AND PHARM",
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"AuthorizedOfficialCredential": "PHARMD AND CCN",
"AuthorizedOfficialTelephoneNumber": "415-479-1930",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0004X",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHY37119",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}