{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CVS PHARMACY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "31011 VIA ESTENAGA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN JUAN CAPISTRANO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92675-2931",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-443-0363",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "30261 GOLDEN LANTERN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAGUNA NIGUEL",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92677-5979",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-363-0482",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/26/2016",
"LastUpdateDate": "04/26/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KASSABIAN",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "Z",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "949-443-0363",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "58322",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}