{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "APEX ADULT DAY CARE SERVICES, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "45 BLUEBIRD HILL CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANHASSET",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11030-4021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-584-6777",
"MailingAddressFaxNumber": "718-228-6927",
"FirstLinePracticeLocationAddress": "1175 FINDLAY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRONX",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10456-4182",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-767-1967",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/16/2014",
"LastUpdateDate": "05/16/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAWERE",
"AuthorizedOfficialFirstName": "JONATHAN",
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"AuthorizedOfficialTitle": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LNHA, DPT, MD",
"AuthorizedOfficialTelephoneNumber": "917-584-6777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}