{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOPE HOSPICE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3414 SE KENTUCKY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARTLESVILLE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74006-2319",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-333-7700",
"MailingAddressFaxNumber": "918-333-8200",
"FirstLinePracticeLocationAddress": "3414 SE KENTUCKY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARTLESVILLE",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74006-2319",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-333-7700",
"PracticeLocationAddressFaxNumber": "918-333-8200",
"EnumerationDate": "08/10/2006",
"LastUpdateDate": "08/18/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CROCKETT",
"AuthorizedOfficialFirstName": "SHERRY",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN, BA",
"AuthorizedOfficialTelephoneNumber": "918-333-7700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "4145",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}