{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ADVANCED CARDIO SERVICES",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2544 CAMPBELL PL",
"SecondLineMailingAddress": "SUITE 275",
"MailingAddressCityName": "CARLSBAD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92009-1752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-476-1812",
"MailingAddressFaxNumber": "760-476-1836",
"FirstLinePracticeLocationAddress": "2544 CAMPBELL PL",
"SecondLinePracticeLocationAddress": "SUITE 275",
"PracticeLocationAddressCityName": "CARLSBAD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92009-1752",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-476-1812",
"PracticeLocationAddressFaxNumber": "760-476-1836",
"EnumerationDate": "04/25/2014",
"LastUpdateDate": "04/25/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CADY",
"AuthorizedOfficialFirstName": "TIMOTHY",
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"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-579-7201",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1231672",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}