{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12677 HESPERIA RD STE 180",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VICTORVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92395-7754",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-962-1200",
"MailingAddressFaxNumber": "760-962-1222",
"FirstLinePracticeLocationAddress": "12677 HESPERIA ROAD",
"SecondLinePracticeLocationAddress": "SUITE 180",
"PracticeLocationAddressCityName": "VICTORVILLE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-962-1200",
"PracticeLocationAddressFaxNumber": "760-962-1222",
"EnumerationDate": "11/21/2005",
"LastUpdateDate": "10/27/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KANDRU",
"AuthorizedOfficialFirstName": "SRINIVASA",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-962-1200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}