{
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"OrgName": "QUALITY MEDICAL CORPORATION",
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"FirstLineMailingAddress": "137 E VINE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REDLANDS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92373-4759",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-830-2121",
"MailingAddressFaxNumber": "909-793-8262",
"FirstLinePracticeLocationAddress": "137 E VINE ST",
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"PracticeLocationAddressCityName": "REDLANDS",
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"PracticeLocationAddressTelephoneNumber": "951-830-2121",
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"EnumerationDate": "05/17/2007",
"LastUpdateDate": "11/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUKE",
"AuthorizedOfficialFirstName": "HAROLD",
"AuthorizedOfficialMiddleName": "POHANG",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "909-793-0077",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Physician",
"LicenseNumber": "11898",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}