{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "A TO Z FAMILY SERVICES, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "44 N MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MALAD CITY",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83252-1200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-766-2389",
"MailingAddressFaxNumber": "208-766-2385",
"FirstLinePracticeLocationAddress": "44 N MAIN",
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"PracticeLocationAddressCityName": "MALAD",
"PracticeLocationAddressStateName": "ID",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-766-2389",
"PracticeLocationAddressFaxNumber": "208-766-2385",
"EnumerationDate": "11/16/2010",
"LastUpdateDate": "06/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PERRENOUD",
"AuthorizedOfficialFirstName": "REBECCA",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW CIBI ACADC",
"AuthorizedOfficialTelephoneNumber": "208-785-1326",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "LMSW-30276",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}