{
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"FirstLineMailingAddress": "26060 ACERO",
"SecondLineMailingAddress": "SUITE 101",
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"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92691-2768",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
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"FirstLinePracticeLocationAddress": "52 CUPERTINO CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALISO VIEJO",
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"PracticeLocationAddressTelephoneNumber": "949-215-2150",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/26/2010",
"LastUpdateDate": "10/26/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRUZ",
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"AuthorizedOfficialTelephoneNumber": "949-215-2150",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}