{
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"EIN": null,
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"ParentOrgLBN": null,
"ParentOrgTIN": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5116 BROWNSTONE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLOWER MOUND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75028-6029",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-636-1234",
"MailingAddressFaxNumber": "972-200-5587",
"FirstLinePracticeLocationAddress": "5116 BROWNSTONE DR",
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"PracticeLocationAddressCityName": "FLOWER MOUND",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75028-6029",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-636-1234",
"PracticeLocationAddressFaxNumber": "972-200-5587",
"EnumerationDate": "09/18/2009",
"LastUpdateDate": "10/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TUYGUN",
"AuthorizedOfficialFirstName": "SERDAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/CFO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "972-636-1234",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}