{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LAS VEGAS SCRIPTS RX LLC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2920 N GREEN VALLEY PKWY STE 814",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HENDERSON",
"MailingAddressStateName": "NV",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-832-3600",
"MailingAddressFaxNumber": "702-832-5733",
"FirstLinePracticeLocationAddress": "2920 N GREEN VALLEY PKWY STE 814",
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"PracticeLocationAddressCityName": "HENDERSON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "833-834-2779",
"PracticeLocationAddressFaxNumber": "833-834-2780",
"EnumerationDate": "07/07/2018",
"LastUpdateDate": "04/12/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDOUARD",
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"AuthorizedOfficialTitle": "C.E.O.",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PHARM D.",
"AuthorizedOfficialTelephoneNumber": "702-832-3600",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}