{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "PDMD TRANSPORTATION INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "224 W SANTA ANITA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURBANK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91502-2305",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-505-5525",
"MailingAddressFaxNumber": "818-842-5822",
"FirstLinePracticeLocationAddress": "224 W SANTA ANITA AVE",
"SecondLinePracticeLocationAddress": "SAME",
"PracticeLocationAddressCityName": "BURBANK",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-505-5525",
"PracticeLocationAddressFaxNumber": "818-842-5822",
"EnumerationDate": "01/23/2012",
"LastUpdateDate": "01/23/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SARKSYAN",
"AuthorizedOfficialFirstName": "LIANA",
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"AuthorizedOfficialTitle": "SECRETARY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "877-505-5525",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "B5556393",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}