{
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"IsOrgSubpart": "N",
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"OrgName": "SIMPLEHEALTH, LLC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "5600 OAK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POLAND",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47868-7050",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "765-795-2929",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5600 OAK RD",
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"PracticeLocationAddressCityName": "POLAND",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/10/2012",
"LastUpdateDate": "05/10/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLIVER",
"AuthorizedOfficialFirstName": "MARCIA",
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"AuthorizedOfficialCredential": "MSPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "05007635A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}