{
"Npi": {
"NPI": "1497140099",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HANDS ON COMPANION AGENCY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4972 MCNAIR RD",
"SecondLineMailingAddress": "P O BOX 1102",
"MailingAddressCityName": "CAMILLA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31730-3942",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "229-200-3851",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4972 MCNAIR RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAMILLA",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "229-200-3851",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/31/2015",
"LastUpdateDate": "03/31/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVENPORT",
"AuthorizedOfficialFirstName": "TENIKA",
"AuthorizedOfficialMiddleName": "NECOLE",
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "229-200-3851",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "101R1381",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}