{
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"FirstLineMailingAddress": "2155 E GARVEY AVE N STE B10",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST COVINA",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
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"FirstLinePracticeLocationAddress": "1325 E COOLEY DR STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-757-8150",
"PracticeLocationAddressFaxNumber": "909-757-8170",
"EnumerationDate": "05/15/2020",
"LastUpdateDate": "06/12/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OCEGUEDA",
"AuthorizedOfficialFirstName": "EVALINE",
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"AuthorizedOfficialTelephoneNumber": "951-662-6267",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community Based Hospice Care Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}