{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "STELLAR HEARTS HOME HEALTH INC",
"LastName": null,
"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3838 W CARSON ST STE 335",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TORRANCE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90503-6728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-404-1678",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3838 W CARSON ST STE 335",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TORRANCE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-404-1678",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/27/2022",
"LastUpdateDate": "06/27/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIRANDA",
"AuthorizedOfficialFirstName": "AMADOR",
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"AuthorizedOfficialTitle": "SECRETARY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "323-803-3284",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}