{
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"NPI": "1891065918",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "AGAPE OPTICAL INC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "17520 CASTLETON ST",
"SecondLineMailingAddress": "SUITE 105A",
"MailingAddressCityName": "CITY OF INDUSTRY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91748-1701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-715-3308",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17520 CASTLETON ST STE 105A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CITY OF INDUSTRY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91748-5798",
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"PracticeLocationAddressTelephoneNumber": "626-715-3308",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/05/2012",
"LastUpdateDate": "10/26/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TSAI",
"AuthorizedOfficialFirstName": "JENNY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-581-3307",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "D7611",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}