{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DIVINE MERCY ADULT CARE",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6208 S PARKSIDE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TEMPE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85283-2639",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-427-2647",
"MailingAddressFaxNumber": "480-838-9668",
"FirstLinePracticeLocationAddress": "6208 S PARKSIDE DR",
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"PracticeLocationAddressCityName": "TEMPE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-427-2647",
"PracticeLocationAddressFaxNumber": "480-838-9668",
"EnumerationDate": "01/06/2015",
"LastUpdateDate": "01/06/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TANG",
"AuthorizedOfficialFirstName": "JOSEPHINE",
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"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "480-240-0278",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL9525H",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}