{
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"OrgName": "COUNTY OF SAN DIEGO",
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"FirstLineMailingAddress": "12025 CALLE DE LEON APT 13",
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"MailingAddressCityName": "EL CAJON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92019-4900",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9065 EDEGMOOR DRIVE",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/15/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEONARD",
"AuthorizedOfficialFirstName": "DELORES",
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"AuthorizedOfficialTelephoneNumber": "619-670-1523",
"Taxonomies": {
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"TaxonomyName": "Skilled Nursing Facility",
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}
},
"HealthcareProviderTaxonomyGroups": null
}
}