{
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"FirstLineMailingAddress": "1012 PARADISE VIEW ST",
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"MailingAddressCityName": "HENDERSON",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89052-3937",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-614-7079",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "243 SAXONDALE AVE",
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"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
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"PracticeLocationAddressTelephoneNumber": "725-600-7675",
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"EnumerationDate": "10/10/2017",
"LastUpdateDate": "10/10/2017",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "LAZAR-LOPEZ",
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"AuthorizedOfficialTelephoneNumber": "702-614-7079",
"Taxonomies": {
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"TaxonomyName": "Adult Care Home Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}