{
"Npi": {
"NPI": "1942604020",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROBINSON ENTERPRISE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "37833 SWEET MAGNOLIA WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MURRIETA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92563-6799",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-628-9808",
"MailingAddressFaxNumber": "951-461-9101",
"FirstLinePracticeLocationAddress": "37833 SWEET MAGNOLIA WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MURRIETA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92563-6799",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-628-9808",
"PracticeLocationAddressFaxNumber": "951-461-9101",
"EnumerationDate": "10/17/2014",
"LastUpdateDate": "10/17/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBINSON",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "DESHUN",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-628-9808",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302F00000X",
"TaxonomyName": "Exclusive Provider Organization",
"LicenseNumber": "302F0000X",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}