{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BUFFALO VALLEY LUTHERAN VILLAGE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "131 FOREST HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIFFLINBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17844-7004",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-412-5064",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "189 E TRESSLER BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISBURG",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-523-4226",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/06/2014",
"LastUpdateDate": "05/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KLINE",
"AuthorizedOfficialFirstName": "TRACI",
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"AuthorizedOfficialCredential": "OTA",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "OP006155",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}