{
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"NPI": "1427652288",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BUVAN CORP INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "130 MCCORMICK AVE STE 104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COSTA MESA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92626-3316",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-296-5595",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "130 MCCORMICK AVE STE 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COSTA MESA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-296-5595",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/23/2020",
"LastUpdateDate": "11/23/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUVAN",
"AuthorizedOfficialFirstName": "HAKAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO / OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "949-296-5595",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}