{
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"OrgName": "STRUT HAIR SOLUTIONS INC.",
"LastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "202 LOMAS SANTA FE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOLANA BEACH",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "858-755-9447",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "202 LOMAS SANTA FE DR",
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"PracticeLocationAddressTelephoneNumber": "858-755-9447",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/08/2006",
"LastUpdateDate": "06/28/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBSON",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "559-225-5691",
"Taxonomies": {
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"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "100-189479",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}