{
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"FirstLineMailingAddress": "2331 W LINCOLN AVE STE 100",
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"MailingAddressCityName": "ANAHEIM",
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"MailingAddressPostalCode": "92801-5103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-713-6140",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2323 W LINCOLN AVE # 207A",
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"PracticeLocationAddressFaxNumber": "714-948-8914",
"EnumerationDate": "09/01/2020",
"LastUpdateDate": "06/10/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MESIAS",
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"AuthorizedOfficialTelephoneNumber": "714-713-6140",
"Taxonomies": {
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"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}