{
"Npi": {
"NPI": "1427597350",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRIMECARE HOSPICE & PALLIATIVE INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1735 IRWINTON RD STE 1A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MILLEDGEVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31061-3830",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-755-1972",
"MailingAddressFaxNumber": "478-451-0224",
"FirstLinePracticeLocationAddress": "1735 IRWINTON RD STE 1A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILLEDGEVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31061-3830",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-755-1972",
"PracticeLocationAddressFaxNumber": "478-451-0224",
"EnumerationDate": "02/12/2017",
"LastUpdateDate": "07/02/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FLOURNOY",
"AuthorizedOfficialFirstName": "CALEB",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "770-755-1972",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}