{
"Npi": {
"NPI": "1538438015",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TASS BRAIN INJURY REHABILITATION CENTER",
"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,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "42215 PLEASANT RG EXT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PONCHATOULA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70454-4723",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-370-0323",
"MailingAddressFaxNumber": "985-370-0324",
"FirstLinePracticeLocationAddress": "42215 PLEASANT RG EXT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PONCHATOULA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70454-4723",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-370-0323",
"PracticeLocationAddressFaxNumber": "985-370-0324",
"EnumerationDate": "12/29/2011",
"LastUpdateDate": "12/29/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LENTZ",
"AuthorizedOfficialFirstName": "SUZANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "985-370-0323",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "005",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}