{
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"OrgName": "HEARING AID CENTER OF ROSEVILLE LLC",
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"FirstLineMailingAddress": "151 N SUNRISE AVE",
"SecondLineMailingAddress": "#813",
"MailingAddressCityName": "ROSEVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95661-2924",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-781-2552",
"MailingAddressFaxNumber": "916-781-2085",
"FirstLinePracticeLocationAddress": "151 N SUNRISE AVE",
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"PracticeLocationAddressCityName": "ROSEVILLE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "916-781-2085",
"EnumerationDate": "07/14/2009",
"LastUpdateDate": "07/14/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
"AuthorizedOfficialFirstName": "KIRK",
"AuthorizedOfficialMiddleName": "FRANKLIN",
"AuthorizedOfficialTitle": "HEARING AID SPECIALIST",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "916-781-2552",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "HA 6073",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}