{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "7151 LINCOLN AVE",
"SecondLineMailingAddress": "SUITE P",
"MailingAddressCityName": "BUENA PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90620-4613",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7151 LINCOLN AVE",
"SecondLinePracticeLocationAddress": "SUITE P",
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"PracticeLocationAddressTelephoneNumber": "800-939-6759",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2015",
"LastUpdateDate": "07/20/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANH",
"AuthorizedOfficialFirstName": "KATIE",
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"AuthorizedOfficialTitle": "ADMINISTRATOR",
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"AuthorizedOfficialTelephoneNumber": "800-939-6759",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}