{
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"FirstLineMailingAddress": "9778 KATELLA AVE STE 117",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-585-9305",
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"FirstLinePracticeLocationAddress": "9778 KATELLA AVE STE 114",
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"PracticeLocationAddressCityName": "ANAHEIM",
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"EnumerationDate": "09/16/2024",
"LastUpdateDate": "11/22/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PHAM",
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"AuthorizedOfficialCredential": "RN",
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"Taxonomies": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}