{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "COMMUNITY CARE HEALTH CENTERS",
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"FirstLineMailingAddress": "8041 NEWMAN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTINGTON BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92647-7034",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-500-0200",
"MailingAddressFaxNumber": "714-842-0716",
"FirstLinePracticeLocationAddress": "1241 W 17TH ST",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "SANTA ANA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-285-9811",
"PracticeLocationAddressFaxNumber": "714-285-9822",
"EnumerationDate": "01/25/2007",
"LastUpdateDate": "07/21/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOULD",
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"AuthorizedOfficialTelephoneNumber": "714-500-0200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "550000166",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}