{
"Npi": {
"NPI": "1235376930",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIVING WELL ALF CORP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "21280 OLD CUTLER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CUTLER BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33189-3131",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-431-2586",
"MailingAddressFaxNumber": "305-229-0091",
"FirstLinePracticeLocationAddress": "21280 OLD CUTLER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUTLER BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33189-3131",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-431-2586",
"PracticeLocationAddressFaxNumber": "305-229-0091",
"EnumerationDate": "01/16/2009",
"LastUpdateDate": "01/16/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GACEL",
"AuthorizedOfficialFirstName": "JORGE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "V PRESIDENTE",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-431-2586",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL11461",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}