{
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"FirstLineMailingAddress": "3636 NOBEL DR STE 450",
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"FirstLinePracticeLocationAddress": "38977 SKY CANYON DR STE 110",
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"EnumerationDate": "02/14/2020",
"LastUpdateDate": "05/24/2023",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "MONGONIA",
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"AuthorizedOfficialTelephoneNumber": "858-251-4242",
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"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}