{
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"IsOrgSubpart": "N",
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"OrgName": "LEONE REHAB RESOURCES, LLC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "1238 TIMBER LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND CANE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71032-5808",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-455-8238",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "420 TENAHA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CENTER",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75935-3432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "936-590-8025",
"PracticeLocationAddressFaxNumber": "936-590-6561",
"EnumerationDate": "03/02/2020",
"LastUpdateDate": "03/02/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEONE",
"AuthorizedOfficialFirstName": "STEPHEN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "318-455-8230",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}