{
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"FirstLineMailingAddress": "2535 16TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKERSFIELD",
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"MailingAddressTelephoneNumber": "661-869-1074",
"MailingAddressFaxNumber": "661-869-1075",
"FirstLinePracticeLocationAddress": "2535 16TH ST",
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"PracticeLocationAddressCityName": "BAKERSFIELD",
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"PracticeLocationAddressTelephoneNumber": "661-869-1074",
"PracticeLocationAddressFaxNumber": "661-869-1075",
"EnumerationDate": "03/05/2014",
"LastUpdateDate": "12/31/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAGANA",
"AuthorizedOfficialFirstName": "ANA",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS",
"AuthorizedOfficialTelephoneNumber": "661-369-2101",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "302F00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}