{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"FirstLineMailingAddress": "41254 CHESTNUT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMDALE",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-261-8817",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4621 E AVENUE S # D107",
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"PracticeLocationAddressCityName": "PALMDALE",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/15/2025",
"LastUpdateDate": "12/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOTROS",
"AuthorizedOfficialFirstName": "KARIM",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "RPH",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}