{
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"OrgName": "KAISER PERMANENTE",
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"FirstLineMailingAddress": "2480 VINEYARD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NOVATO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94947-3601",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-577-4018",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3554 ROUND BARN BLVD",
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"PracticeLocationAddressCityName": "SANTA ROSA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/16/2011",
"LastUpdateDate": "09/16/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOMBARDINI",
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"AuthorizedOfficialTelephoneNumber": "415-577-4018",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric Hospital",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}