{
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"EIN": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "9500 STOCKDALE HWY",
"SecondLineMailingAddress": "SUITE 108",
"MailingAddressCityName": "BAKERSFIELD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93311-3620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-410-9500",
"MailingAddressFaxNumber": "661-410-9501",
"FirstLinePracticeLocationAddress": "9500 STOCKDALE HWY",
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"PracticeLocationAddressCityName": "BAKERSFIELD",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-410-9500",
"PracticeLocationAddressFaxNumber": "661-410-9501",
"EnumerationDate": "07/06/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMIN",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "661-410-9500",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}