{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
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"ParentOrgTIN": null,
"OrgName": "FIJIAN ANGEL CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4757 J ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SACRAMENTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "96819",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-476-3325",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4757 J ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SACRAMENTO",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-476-3325",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/21/2011",
"LastUpdateDate": "09/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAUKEINIKORO",
"AuthorizedOfficialFirstName": "VENAISI",
"AuthorizedOfficialMiddleName": "V",
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"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "916-476-3325",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "155056",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}