{
"Npi": {
"NPI": "1093107054",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOUSTON CREEK ASSISTED LIVING",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "210 S HOUSTON CREEK CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STAR VALLEY",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85541-2521",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "210 S HOUSTON CREEK CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STAR VALLEY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85541-2521",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-951-2467",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/28/2015",
"LastUpdateDate": "02/28/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALUCCI",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "928-951-2467",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL8468H",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}