{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "AJ'S SENIOR CARE HOME",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3938 COWELL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONCORD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94518-1709",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-475-9941",
"MailingAddressFaxNumber": "925-689-6888",
"FirstLinePracticeLocationAddress": "3938 COWELL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONCORD",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-475-9941",
"PracticeLocationAddressFaxNumber": "925-689-6888",
"EnumerationDate": "11/24/2014",
"LastUpdateDate": "11/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VALENCIA",
"AuthorizedOfficialFirstName": "JANET",
"AuthorizedOfficialMiddleName": "BAENA",
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"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "925-475-9941",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}