{
"Npi": {
"NPI": "1508188780",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUNDANCE REHAB",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "100 SE 11TH CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DEERFIELD BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33441-6620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-254-8135",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2480 N PARK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLYWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33021-3744",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-961-9522",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/16/2010",
"LastUpdateDate": "02/16/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUFF",
"AuthorizedOfficialFirstName": "BARBARA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "STAFF PT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "954-961-9522",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "PT16292",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}