{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WESTERN LIVING CONCEPTS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2740 TIMBER RIDGE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EUREKA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95503-4883",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "707-443-3000",
"MailingAddressFaxNumber": "707-443-3027",
"FirstLinePracticeLocationAddress": "2740 TIMBER RIDGE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EUREKA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95503-4883",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "707-443-3000",
"PracticeLocationAddressFaxNumber": "707-443-3027",
"EnumerationDate": "05/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FARNUM",
"AuthorizedOfficialFirstName": "LARONA",
"AuthorizedOfficialMiddleName": "KAY",
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "707-443-3000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}