{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "S AMIR FARZAN TAVAKKOLI ISFAHANI",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27871 LA PAZ RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAGUNA NIGUEL",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92677-3920",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-360-1600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "27871 LA PAZ RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAGUNA NIGUEL",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-360-1600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2015",
"LastUpdateDate": "07/07/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAVAKKOLI ISFAHANI",
"AuthorizedOfficialFirstName": "SEID AMIR FARZAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "256-797-2552",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}