{
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"EIN": null,
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"FirstLineMailingAddress": "130 MCCORMICK AVE STE 104",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "844-755-5055",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "130 MCCORMICK AVE STE 104",
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"PracticeLocationAddressCityName": "COSTA MESA",
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"PracticeLocationAddressTelephoneNumber": "844-755-5055",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/13/2021",
"LastUpdateDate": "09/15/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESPARZA",
"AuthorizedOfficialFirstName": "JOSEPH",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "844-755-5055",
"Taxonomies": {
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"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}