{
"Npi": {
"NPI": "1346231198",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST. CLARA'S MANOR",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "200 5TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62656-2619",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-735-1507",
"MailingAddressFaxNumber": "217-732-3188",
"FirstLinePracticeLocationAddress": "200 5TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62656-2619",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "217-735-1507",
"PracticeLocationAddressFaxNumber": "217-732-3188",
"EnumerationDate": "11/01/2005",
"LastUpdateDate": "06/23/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATER",
"AuthorizedOfficialFirstName": "CRAIG",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "EXEC. VP & CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "309-823-7135",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "0016949",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}