{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HS MEDICAL INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "PO BOX 2118",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92324-0823",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-370-3979",
"MailingAddressFaxNumber": "909-370-3923",
"FirstLinePracticeLocationAddress": "671 S COOLEY DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "COLTON",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-370-3979",
"PracticeLocationAddressFaxNumber": "909-370-3923",
"EnumerationDate": "06/23/2006",
"LastUpdateDate": "04/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTA MARIA",
"AuthorizedOfficialFirstName": "GONZALO",
"AuthorizedOfficialMiddleName": "ALMONTE",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "RCP",
"AuthorizedOfficialTelephoneNumber": "909-370-3979",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "44848",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}