{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAL2000 PHARMACY INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "886 W FOOTHILL BLVD",
"SecondLineMailingAddress": "D",
"MailingAddressCityName": "UPLAND",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91786-3769",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-946-9400",
"MailingAddressFaxNumber": "909-946-0300",
"FirstLinePracticeLocationAddress": "886 W FOOTHILL BLVD",
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"PracticeLocationAddressCityName": "UPLAND",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-946-9400",
"PracticeLocationAddressFaxNumber": "909-946-0300",
"EnumerationDate": "11/25/2006",
"LastUpdateDate": "01/21/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YONG",
"AuthorizedOfficialFirstName": "RICHARD",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "909-946-9400",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "PHY44971",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}