{
"Npi": {
"NPI": "1235476151",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TASSCO STAFFING LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 7141",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLOTTESVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22906-7141",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-973-2738",
"MailingAddressFaxNumber": "434-293-0693",
"FirstLinePracticeLocationAddress": "2114 ANGUS RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHARLOTTESVILLE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22901-2768",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "434-973-2738",
"PracticeLocationAddressFaxNumber": "434-293-0693",
"EnumerationDate": "01/11/2013",
"LastUpdateDate": "01/11/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELLS",
"AuthorizedOfficialFirstName": "BUTCH",
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"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "434-973-2738",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}