{
"Npi": {
"NPI": "1245778810",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RIVER TO RIVER COMMUNITY OF ULLIN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 1759",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARION",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62959",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "751 ULLIN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ULLIN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62992-1014",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-845-9065",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/03/2017",
"LastUpdateDate": "02/03/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARTER HAMLIN",
"AuthorizedOfficialFirstName": "SHERRY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "618-993-7533",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "0583795",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}