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,{"mmis_id":"03143620","npi":"1871543215","mmis_name":"STANFORD HEALTH CARE","medicaid_type":"FFS","profession_or_service":"OUTPATIENT","provider_specialty":"PRIMARY CARE","service_address":"300 PASTEUR DR","city":"STANFORD","state":"CA","zip_code":"94305-2200","county":"OUT OF STATE","telephone":"6507236021","latitude":"037.433610","longitude":"-122.176400","enrollment_begin_date":"2025-03-31T00:00:00.000","next_anticipated_revalidation_date":"2030-08-27T00:00:00.000","updated":"2026-06-15T00:00:00.000","medically_fragile_children_directory_ind":"N"}]