{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HEALING HANDS HOME HEALTH AGENCY,LLC",
"LastName": null,
"FirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1826",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITHONIA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30058-1028",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "470-246-5865",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4440 IDLEWOOD PARK",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LITHONIA",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressTelephoneNumber": "470-246-5865",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/19/2012",
"LastUpdateDate": "01/04/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLACK",
"AuthorizedOfficialFirstName": "GEORGIAN",
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"AuthorizedOfficialTitle": "PRESIDENT/CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "470-246-5865",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}