{
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"FirstLineMailingAddress": "35534 CLOCHE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINCHESTER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92596-8549",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-926-8041",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "27574 COMMERCE CENTER DR STE 231",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TEMECULA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-777-8839",
"PracticeLocationAddressFaxNumber": "951-877-3183",
"EnumerationDate": "10/04/2016",
"LastUpdateDate": "10/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CABUGUAS",
"AuthorizedOfficialFirstName": "LINO",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "951-777-8839",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}