{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CAMBRIDGE ADULT DAY CENTER WALTON LLC",
"LastName": null,
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "2075 WALTON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OVERLAND",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63114-5805",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-426-7777",
"MailingAddressFaxNumber": "800-361-2345",
"FirstLinePracticeLocationAddress": "2075 WALTON RD",
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"PracticeLocationAddressCityName": "OVERLAND",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-426-7777",
"PracticeLocationAddressFaxNumber": "800-361-2345",
"EnumerationDate": "07/29/2014",
"LastUpdateDate": "02/03/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRIGGS",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "G",
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"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "314-426-7777",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "1267",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}