{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ER AMBULANCE II",
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"FirstName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "9640 MISSION GORGE RD STE B",
"SecondLineMailingAddress": "#338",
"MailingAddressCityName": "SANTEE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92071-3854",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-890-9429",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1365 N JOHNSON AVE",
"SecondLinePracticeLocationAddress": "SUITE 116",
"PracticeLocationAddressCityName": "EL CAJON",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92020-1676",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-890-9429",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/14/2009",
"LastUpdateDate": "07/14/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SILVA",
"AuthorizedOfficialFirstName": "RAFAEL",
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"AuthorizedOfficialTitle": "PRESIDENT/CEO",
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"AuthorizedOfficialCredential": "EMT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "3214237",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}