{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CHOICES UNLIMITED, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1714",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRESHAM",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97030-0533",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-936-2818",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3474 SE HILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILWAUKIE",
"PracticeLocationAddressStateName": "OR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-786-6211",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/04/2015",
"LastUpdateDate": "12/04/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANN",
"AuthorizedOfficialFirstName": "MANUELA",
"AuthorizedOfficialMiddleName": "CHRISTINA",
"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "503-936-2818",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "090000627RN",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}