{
"Npi": {
"NPI": "1407450281",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MESI ADULT FOSTER CAME HOME",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "335 NW 338TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HILLSBORO",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97124-3643",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-602-0535",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "323 NW FREEMAN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HILLSBORO",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97124-3739",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-602-0535",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/23/2020",
"LastUpdateDate": "11/23/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KEBEDE",
"AuthorizedOfficialFirstName": "MESERET",
"AuthorizedOfficialMiddleName": "ABEBE",
"AuthorizedOfficialTitle": "PROVIDER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "678-602-0535",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253J00000X",
"TaxonomyName": "Foster Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}