{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHARMACISTS HOME MEDICAL LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "461 N SPRING ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPARTA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38583-1328",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "931-836-6387",
"MailingAddressFaxNumber": "931-836-1052",
"FirstLinePracticeLocationAddress": "461 N SPRING ST",
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"PracticeLocationAddressCityName": "SPARTA",
"PracticeLocationAddressStateName": "TN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "931-836-6387",
"PracticeLocationAddressFaxNumber": "931-836-1052",
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "04/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARMES",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": "THOMAS",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "931-836-6387",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "332BX2000X",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}