{
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"FirstLineMailingAddress": "26140 WINDSOR DR",
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"MailingAddressCityName": "LOMA LINDA",
"MailingAddressStateName": "CA",
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"FirstLinePracticeLocationAddress": "25819 AMAPOLAS ST",
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"EnumerationDate": "01/19/2016",
"LastUpdateDate": "01/19/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAI",
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"AuthorizedOfficialTelephoneNumber": "909-480-5909",
"Taxonomies": {
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"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}