{
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"ParentOrgLBN": null,
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"OrgName": "BECKWOOD MANOR, INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1825",
"SecondLineMailingAddress": "500 LEIGHTON AVE",
"MailingAddressCityName": "ANNISTON",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36202",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-236-4949",
"MailingAddressFaxNumber": "256-236-4989",
"FirstLinePracticeLocationAddress": "500 LEIGHTON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANNISTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-236-4949",
"PracticeLocationAddressFaxNumber": "256-236-4989",
"EnumerationDate": "09/01/2006",
"LastUpdateDate": "11/02/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COX",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "CLAYTON",
"AuthorizedOfficialTitle": "ASST ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "LICENSED NURSING HOM",
"AuthorizedOfficialTelephoneNumber": "256-236-4949",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "12487",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}