{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NASH HOME CARE LLC NADEGE BLANCE EWAH MBR",
"LastName": null,
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"NamePrefix": null,
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"OtherOrgName": null,
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"FirstLineMailingAddress": "2410 VIRGINIA AVE APT 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HYATTSVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20785-3379",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-301-5267",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6801 KENILWORTH AVE FL 3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERDALE",
"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "907-301-5267",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/25/2025",
"LastUpdateDate": "09/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EWAH",
"AuthorizedOfficialFirstName": "NADEGE",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "907-301-5267",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}