{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "COMBINED PERSONAL CARE SERVICES",
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5260 CEDAR PARK DR STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSON",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39206-4131",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-397-6575",
"MailingAddressFaxNumber": "769-251-2774",
"FirstLinePracticeLocationAddress": "5260 CEDAR PARK DR STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JACKSON",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39206-4131",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-397-6575",
"PracticeLocationAddressFaxNumber": "769-251-2774",
"EnumerationDate": "07/23/2015",
"LastUpdateDate": "07/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "CHERISH",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "DIRECTOR OF ADMINISTRATIVE SERVICES",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MPA",
"AuthorizedOfficialTelephoneNumber": "601-214-4664",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}