{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1054 S STATE HIGHWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARRENTON",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63383",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-377-4444",
"MailingAddressFaxNumber": "314-377-4446",
"FirstLinePracticeLocationAddress": "1054 S STATE HIGHWAY 47",
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"PracticeLocationAddressCityName": "WARRENTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-377-4444",
"PracticeLocationAddressFaxNumber": "314-377-4446",
"EnumerationDate": "08/28/2016",
"LastUpdateDate": "08/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GETTMAN",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "636-219-3114",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "044167",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}