{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STONERIDGE HOME HEALTH CARE LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "104 N HAMILTON RD STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAHANNA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43230-2602",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-446-3531",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "104 N HAMILTON RD STE 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAHANNA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43230-2602",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-407-3225",
"PracticeLocationAddressFaxNumber": "614-810-2922",
"EnumerationDate": "11/15/2019",
"LastUpdateDate": "07/08/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NDUATI",
"AuthorizedOfficialFirstName": "ELIAS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "C.E.O/PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "614-446-3531",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}