{
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"OrgName": "WAYPOINT MEDICAL SOUTH LLC DBA WAYPOINT HOME HEALTH CARE",
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "1001 S RIVERSIDE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDGEWATER",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32132-2348",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-690-4382",
"MailingAddressFaxNumber": "844-659-2825",
"FirstLinePracticeLocationAddress": "936 US HIGHWAY 1 UNIT D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEBASTIAN",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32958-4100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-690-4382",
"PracticeLocationAddressFaxNumber": "844-659-2825",
"EnumerationDate": "04/27/2020",
"LastUpdateDate": "10/19/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOYLE",
"AuthorizedOfficialFirstName": "JAMES",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "386-690-4382",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}