{
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"FirstLineMailingAddress": "9198 GREENBACK LN STE 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORANGEVALE",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-222-9281",
"MailingAddressFaxNumber": "888-690-4155",
"FirstLinePracticeLocationAddress": "9198 GREENBACK LN STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGEVALE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "888-690-4155",
"EnumerationDate": "05/02/2024",
"LastUpdateDate": "05/02/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WACHIRA",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}