{
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"IsOrgSubpart": "N",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12502 W. REDFIELD ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL MIRAGE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85335",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-367-6491",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12502 W REDFIELD RD",
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"PracticeLocationAddressCityName": "EL MIRAGE",
"PracticeLocationAddressStateName": "AZ",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/11/2007",
"LastUpdateDate": "07/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MICULA",
"AuthorizedOfficialFirstName": "DANIELA",
"AuthorizedOfficialMiddleName": "O",
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"AuthorizedOfficialTelephoneNumber": "602-367-6491",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "ALH-4709",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}