{
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"OrgName": "MLS HOMEMAKER/COMPANION SERVICE",
"LastName": null,
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"FirstLineMailingAddress": "1406 COUNTY ROAD 228",
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"MailingAddressCityName": "WILDWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34785-8507",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1406 COUNTY ROAD 228",
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"PracticeLocationAddressCityName": "WILDWOOD",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/09/2015",
"LastUpdateDate": "11/09/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLOMON",
"AuthorizedOfficialFirstName": "MAGNOLIA",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "352-603-0126",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "233935",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}