{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SERENA HO, O.D. APC",
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"FirstLineMailingAddress": "73111 COUNTRY CLUB DR",
"SecondLineMailingAddress": "STE #B-3",
"MailingAddressCityName": "PALM DESERT",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92260-2340",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-779-8282",
"MailingAddressFaxNumber": "760-779-0606",
"FirstLinePracticeLocationAddress": "73111 COUNTRY CLUB DR",
"SecondLinePracticeLocationAddress": "STE #B-3",
"PracticeLocationAddressCityName": "PALM DESERT",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-779-8282",
"PracticeLocationAddressFaxNumber": "760-779-0606",
"EnumerationDate": "07/09/2009",
"LastUpdateDate": "07/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HO",
"AuthorizedOfficialFirstName": "SERENA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "760-779-8282",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152WC0802X",
"TaxonomyName": "Corneal and Contact Management Optometrist",
"LicenseNumber": "12583TPA",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}