{
"Npi": {
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"IsOrgSubpart": "N",
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"OrgName": "CONNECTICUT EXECUTIVE CAREGIVERS LLC",
"LastName": null,
"FirstName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "390 EAST MAIN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "THOMASTON",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06787",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-465-5005",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "800 UNION AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRIDGEPORT",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06607",
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"PracticeLocationAddressTelephoneNumber": "203-571-4988",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/27/2018",
"LastUpdateDate": "11/27/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMIREZ",
"AuthorizedOfficialFirstName": "FREDERY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-465-5005",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}