{
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"OrgName": "EAGLE SPRINGS SPECIALIZED CARE, LLC",
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"FirstLineMailingAddress": "3723 FAIRVIEW INDUSTRIAL DR SE STE 270",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALEM",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97302-4975",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-485-8691",
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"FirstLinePracticeLocationAddress": "20 SE LARCH AVE",
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"PracticeLocationAddressCityName": "COLLEGE PLACE",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-525-6335",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/31/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARDER",
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"AuthorizedOfficialTelephoneNumber": "503-485-4600",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "BH 1370",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}