{
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    "authorized_official_first_name": "LINDSAY",
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    "authorized_official_title_or_position": "Owner",
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    "enumeration_date": "2026-09-29",
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    {
      "address_1": "3686 SPANISH VALLEY DR UNIT E3",
      "address_purpose": "MAILING",
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      "country_code": "US",
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    }
  ],
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    {
      "code": "103K00000X",
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      "license": null,
      "primary": true,
      "state": null,
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    }
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    },
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    }
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    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}