{
"Npi": {
"NPI": "1033654322",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIVING SPRING ADULT DAY CARE & SUPPORT SERVICES LLC",
"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": "1044 FIELD VIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCDONOUGH",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30253-9021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "862-224-0967",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1044 FIELD VIEW DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MCDONOUGH",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30253-9021",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "862-224-0967",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/22/2016",
"LastUpdateDate": "12/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRIGNOLLE",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MGR.",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "862-224-0967",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "16112118",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}