{
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"OrgName": "APPLE A DAY NUTRITION SERVICES",
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "5720 LEMON AVENUE",
"SecondLineMailingAddress": "UNIT # H",
"MailingAddressCityName": "LONG BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90805-4772",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-462-1012",
"MailingAddressFaxNumber": "323-952-4303",
"FirstLinePracticeLocationAddress": "5720 LEMON AVE",
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"PracticeLocationAddressCityName": "LONG BEACH",
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"PracticeLocationAddressTelephoneNumber": "310-462-1012",
"PracticeLocationAddressFaxNumber": "323-952-4303",
"EnumerationDate": "04/26/2011",
"LastUpdateDate": "04/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "ANTOINETTE",
"AuthorizedOfficialMiddleName": "DALENE",
"AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": "CNS, MS",
"AuthorizedOfficialTelephoneNumber": "310-462-1012",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "133N00000X",
"TaxonomyName": "Nutritionist",
"LicenseNumber": "133N00000X",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}