{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KAAD HOME CARE",
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"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "43 HOSMER ST APT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MATTAPAN",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02126-1945",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-758-5301",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "43 HOSMER ST APT 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MATTAPAN",
"PracticeLocationAddressStateName": "MA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-758-5301",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/03/2022",
"LastUpdateDate": "03/08/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTIAGO MORALES",
"AuthorizedOfficialFirstName": "DESIREE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "781-758-5301",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}