{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4211 N PEBBLE CREEK PKWY",
"SecondLineMailingAddress": "BLDG 1",
"MailingAddressCityName": "GOODYEAR",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85395-9016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-633-2300",
"MailingAddressFaxNumber": "623-594-9164",
"FirstLinePracticeLocationAddress": "4211 N PEBBLE CREEK PKWY",
"SecondLinePracticeLocationAddress": "BLDG 1",
"PracticeLocationAddressCityName": "GOODYEAR",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85395-9016",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-633-2300",
"PracticeLocationAddressFaxNumber": "623-594-9164",
"EnumerationDate": "11/18/2015",
"LastUpdateDate": "11/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STITELER",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/MANAGER",
"AuthorizedOfficialNamePrefix": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "602-944-1177",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL9466H",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}