{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HOME SWEET HOME AT HOGAN LANE",
"LastName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1307 HOGAN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSONVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32221-6616",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-783-6473",
"MailingAddressFaxNumber": "904-783-6473",
"FirstLinePracticeLocationAddress": "1307 HOGAN LN",
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"PracticeLocationAddressCityName": "JACKSONVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-783-6473",
"PracticeLocationAddressFaxNumber": "904-783-6473",
"EnumerationDate": "05/02/2013",
"LastUpdateDate": "05/02/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSE",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "THOMAS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "904-874-8182",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "10443",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}