{
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"NamePrefix": null,
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"FirstLineMailingAddress": "2345 E PRATER WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPARKS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89434-9600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "775-432-7907",
"MailingAddressFaxNumber": "775-343-0102",
"FirstLinePracticeLocationAddress": "900 E INTERSTATE HIGHWAY 2 STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MISSION",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78572-5757",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-445-5383",
"PracticeLocationAddressFaxNumber": "956-585-0023",
"EnumerationDate": "10/21/2015",
"LastUpdateDate": "10/27/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHAN",
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"AuthorizedOfficialTitle": "MANAGING CONSULTANT",
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"AuthorizedOfficialCredential": "BSC PHARMACY",
"AuthorizedOfficialTelephoneNumber": "775-440-7424",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
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}
}