{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LONGORIA PERSONAL CARE HOME, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16740 IH 35 S UNIT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATASCOSA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78002-5773",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-622-9808",
"MailingAddressFaxNumber": "210-622-3731",
"FirstLinePracticeLocationAddress": "16740 IH 35 S UNIT 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ATASCOSA",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "210-622-9808",
"PracticeLocationAddressFaxNumber": "210-622-3731",
"EnumerationDate": "02/09/2007",
"LastUpdateDate": "03/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LONGORIA",
"AuthorizedOfficialFirstName": "MAGDALENA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "210-622-9808",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3104A0625X",
"TaxonomyName": "Assisted Living Facility (Mental Illness)",
"LicenseNumber": "118936",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}