{
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"IsOrgSubpart": "N",
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"OrgName": "NATIONAL HEALTHCARE PHARMACY,INC.",
"LastName": null,
"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3350 LOMA VISTA RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VENTURA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93003-3024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3350 LOMA VISTA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VENTURA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-765-6046",
"PracticeLocationAddressFaxNumber": "805-765-6088",
"EnumerationDate": "02/28/2017",
"LastUpdateDate": "05/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HISHMEH",
"AuthorizedOfficialFirstName": "AMANI",
"AuthorizedOfficialMiddleName": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "805-901-7401",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}