{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8859 STONEHENGE CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PICKERINGTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43147-9714",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-218-1469",
"MailingAddressFaxNumber": "614-417-1893",
"FirstLinePracticeLocationAddress": "8859 STONEHENGE CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PICKERINGTON",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-218-1469",
"PracticeLocationAddressFaxNumber": "614-417-1893",
"EnumerationDate": "08/03/2010",
"LastUpdateDate": "08/03/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOLBER",
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"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "614-218-1469",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}