{
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"EIN": null,
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"NameSuffix": null,
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"OtherLastName": "DAVIES",
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"FirstLineMailingAddress": "35808 CHALET CT",
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"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92563-1840",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "40285 WINCHESTER RD STE 103",
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"PracticeLocationAddressCityName": "TEMECULA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-296-5844",
"PracticeLocationAddressFaxNumber": "951-296-5840",
"EnumerationDate": "09/18/2017",
"LastUpdateDate": "11/30/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "95007413",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}