{
"Npi": {
"NPI": "1215194048",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BLEVINS TOO INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 25265",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DURHAM",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27702-5265",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-596-7901",
"MailingAddressFaxNumber": "919-682-3873",
"FirstLinePracticeLocationAddress": "2325 COOK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DURHAM",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27713-2734",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-956-9701",
"PracticeLocationAddressFaxNumber": "919-682-3873",
"EnumerationDate": "05/20/2008",
"LastUpdateDate": "05/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAYNE",
"AuthorizedOfficialFirstName": "PAYNE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "919-956-7901",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "FCL032083",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}