{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHIMEKS MEDICAL SUPPLY, INC.",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1040 S CYPRESS ST STE M",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LA HABRA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90631-6868",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-879-4043",
"MailingAddressFaxNumber": "714-879-2350",
"FirstLinePracticeLocationAddress": "1040 S CYPRESS ST STE M",
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"PracticeLocationAddressCityName": "LA HABRA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90631-6868",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-879-4043",
"PracticeLocationAddressFaxNumber": "714-879-2350",
"EnumerationDate": "02/26/2007",
"LastUpdateDate": "09/22/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AKPAMGBO",
"AuthorizedOfficialFirstName": "EMEKA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "714-879-4043",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}