{
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"IsOrgSubpart": "N",
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"OrgName": "NEW SELF LOVE FOUNDATION . INC",
"LastName": null,
"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 166",
"SecondLineMailingAddress": "123 PAWHUSKA DRIVE",
"MailingAddressCityName": "TIMBERON",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "88350",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "575-987-2719",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "123 PAWHUSKA DRIVE",
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"PracticeLocationAddressCityName": "TIMBERON",
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"PracticeLocationAddressTelephoneNumber": "575-987-2719",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/02/2010",
"LastUpdateDate": "12/02/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GASPARD",
"AuthorizedOfficialFirstName": "MARGUERITA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "575-987-2719",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "2962215",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}