{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FLORENCE B. ADEMOLA",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "8731 S WESTERN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90047-3327",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-751-8493",
"MailingAddressFaxNumber": "323-751-4839",
"FirstLinePracticeLocationAddress": "8731 S WESTERN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-751-8493",
"PracticeLocationAddressFaxNumber": "323-751-4839",
"EnumerationDate": "08/31/2006",
"LastUpdateDate": "06/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADEMOLA",
"AuthorizedOfficialFirstName": "FLORENCE",
"AuthorizedOfficialMiddleName": "B.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "323-751-8493",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "102990",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}