{
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"IsOrgSubpart": "N",
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"OrgName": "HORSE SENSE FOR A 'CHANGE', LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "7301 E 22ND ST",
"SecondLineMailingAddress": "SUITE 10E",
"MailingAddressCityName": "TUCSON",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85710-6426",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "520-260-2174",
"MailingAddressFaxNumber": "520-296-0998",
"FirstLinePracticeLocationAddress": "7301 E 22ND ST",
"SecondLinePracticeLocationAddress": "SUITE 1C",
"PracticeLocationAddressCityName": "TUCSON",
"PracticeLocationAddressStateName": "AZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-296-0442",
"PracticeLocationAddressFaxNumber": "520-296-0998",
"EnumerationDate": "10/23/2007",
"LastUpdateDate": "10/01/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OBANNON",
"AuthorizedOfficialFirstName": "CHARLOTTE",
"AuthorizedOfficialMiddleName": "S",
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"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "520-260-2174",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "4154",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}