{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BOB INMAN INCORPORATED",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 35333",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAYETTEVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28303-0333",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-609-1800",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3724 SYCAMORE DAIRY RD",
"SecondLinePracticeLocationAddress": "SUITE 116",
"PracticeLocationAddressCityName": "FAYETTEVILLE",
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"PracticeLocationAddressPostalCode": "28303-3495",
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"PracticeLocationAddressTelephoneNumber": "910-609-1800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/16/2007",
"LastUpdateDate": "03/25/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "INMAN",
"AuthorizedOfficialFirstName": "ROBERT",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "910-609-1800",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HC1297",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251J00000X",
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},
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
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"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}