{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EMERGE HOME HEALTH CARE",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15170 CHIPPENDALE AVE W STE 300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSEMOUNT",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55068-2769",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-377-2435",
"MailingAddressFaxNumber": "651-377-2445",
"FirstLinePracticeLocationAddress": "15170 CHIPPENDALE AVE W STE 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROSEMOUNT",
"PracticeLocationAddressStateName": "MN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-377-2427",
"PracticeLocationAddressFaxNumber": "651-377-2445",
"EnumerationDate": "01/14/2026",
"LastUpdateDate": "01/14/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OWUSU-AFRIYIE",
"AuthorizedOfficialFirstName": "ERNEST",
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"AuthorizedOfficialTitle": "DIRECTOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "651-377-2435",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}