{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "2043 RIBERA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OXNARD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93030-5493",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "213-716-0779",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2401 N ROSE AVE",
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"PracticeLocationAddressCityName": "OXNARD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93036-0602",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-981-4963",
"PracticeLocationAddressFaxNumber": "805-983-8509",
"EnumerationDate": "11/08/2018",
"LastUpdateDate": "11/08/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARQUEZ",
"AuthorizedOfficialFirstName": "RUTH",
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"AuthorizedOfficialTitle": "CEO/OPTOMETRIST",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "805-981-4963",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}