{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HIGH DESERT HOME CARE INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "HOMEWATCH CAREGIVERS 20160 HWY. 18",
"SecondLineMailingAddress": "STE. G PMB # 198",
"MailingAddressCityName": "APPLE VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92307-2935",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-810-7161",
"MailingAddressFaxNumber": "760-810-7162",
"FirstLinePracticeLocationAddress": "19822 HAIDA ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APPLE VALLEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92307-5572",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-810-7161",
"PracticeLocationAddressFaxNumber": "760-810-7162",
"EnumerationDate": "02/26/2009",
"LastUpdateDate": "02/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABREU",
"AuthorizedOfficialFirstName": "SHARON",
"AuthorizedOfficialMiddleName": "BETH",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-810-7161",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "347C00000X",
"TaxonomyName": "Private Vehicle",
"LicenseNumber": "00009739",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "00009739",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}