{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MRNB INC",
"LastName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2 COURTYARD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARBOURSVILLE",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25504-1015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-908-5586",
"MailingAddressFaxNumber": "866-441-5478",
"FirstLinePracticeLocationAddress": "2 COURTYARD LN",
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"PracticeLocationAddressCityName": "BARBOURSVILLE",
"PracticeLocationAddressStateName": "WV",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "866-201-8712",
"PracticeLocationAddressFaxNumber": "866-441-5478",
"EnumerationDate": "06/13/2014",
"LastUpdateDate": "10/28/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNES",
"AuthorizedOfficialFirstName": "NATHAN",
"AuthorizedOfficialMiddleName": "E",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "866-201-8712",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": "SP0552473",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}