{
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"EIN": null,
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"IsOrgSubpart": "N",
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3317 BABSON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELK GROVE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95758-6409",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-669-9430",
"MailingAddressFaxNumber": "916-669-9342",
"FirstLinePracticeLocationAddress": "3317 BABSON DR",
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"PracticeLocationAddressCityName": "ELK GROVE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-669-9430",
"PracticeLocationAddressFaxNumber": "916-669-9342",
"EnumerationDate": "06/10/2008",
"LastUpdateDate": "06/10/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SALAZAR",
"AuthorizedOfficialFirstName": "RAQUEL",
"AuthorizedOfficialMiddleName": "ALVAREZ",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "916-669-9430",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}