{
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"FirstLineMailingAddress": "21730 STEVENS CREEK BLVD STE 201C",
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"MailingAddressCityName": "CUPERTINO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-775-7626",
"MailingAddressFaxNumber": "650-618-0492",
"FirstLinePracticeLocationAddress": "21730 STEVENS CREEK BLVD STE 201C",
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"PracticeLocationAddressCityName": "CUPERTINO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "408-775-7626",
"PracticeLocationAddressFaxNumber": "650-618-0492",
"EnumerationDate": "02/03/2026",
"LastUpdateDate": "02/03/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STANLEY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "408-775-7626",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}