{
"Npi": {
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"EIN": null,
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"LastName": "BRICENO",
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"NameSuffix": null,
"Credential": "FNP",
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"FirstLineMailingAddress": "659 S. CENTRAL VALLEY HWY",
"SecondLineMailingAddress": "P.O. BOX 1060",
"MailingAddressCityName": "SHAFTER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93263-2790",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-632-0599",
"MailingAddressFaxNumber": "760-726-4233",
"FirstLinePracticeLocationAddress": "525 ROBERTS LANE",
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"PracticeLocationAddressCityName": "BAKERSFIELD",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-392-7850",
"PracticeLocationAddressFaxNumber": "661-215-2349",
"EnumerationDate": "11/24/2006",
"LastUpdateDate": "01/23/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "NP16663",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}