{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SAN ANGELO SECURITY SERVICE",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "3501 ARDEN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN ANGELO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76901-2715",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "325-655-3280",
"MailingAddressFaxNumber": "325-655-9576",
"FirstLinePracticeLocationAddress": "3501 ARDEN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN ANGELO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76901-2715",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "325-655-3280",
"PracticeLocationAddressFaxNumber": "325-655-9576",
"EnumerationDate": "03/04/2011",
"LastUpdateDate": "03/04/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKEEFE",
"AuthorizedOfficialFirstName": "SEAN",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "325-655-3280",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333300000X",
"TaxonomyName": "Emergency Response System Companies",
"LicenseNumber": "B00638",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}