{
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"OrgName": "NEXUS PHYSICAL THERAPY",
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"FirstLineMailingAddress": "P.O. BOX 2696",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELCAJON",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-579-1625",
"MailingAddressFaxNumber": "619-579-1611",
"FirstLinePracticeLocationAddress": "522 JAMACHA RD",
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"PracticeLocationAddressCityName": "ELCAJON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-579-1625",
"PracticeLocationAddressFaxNumber": "619-579-1611",
"EnumerationDate": "12/11/2006",
"LastUpdateDate": "04/30/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRIS",
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"AuthorizedOfficialMiddleName": "RENO",
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"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "MASTERS OF PHYSICAL",
"AuthorizedOfficialTelephoneNumber": "619-579-1625",
"Taxonomies": {
"Taxonomy": [
{
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"TaxonomyName": "Physical Therapist",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
]
}
}
}