{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SISTEMA DE SALUD FRANCISCANO",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "CARR #3 KM 150.8",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALINAS",
"MailingAddressStateName": "PUERTO RICO",
"MailingAddressPostalCode": "00704",
"MailingAddressCountryCode": "UM",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARR #3 KM 150.8 SALINAS",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AGUIRRE",
"PracticeLocationAddressStateName": "PR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-853-1801",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/09/2008",
"LastUpdateDate": "06/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OJEDA",
"AuthorizedOfficialFirstName": "EDUARDO",
"AuthorizedOfficialMiddleName": "BENIGNO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-853-1801",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "HMSM0017",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}