{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARKWAY SENIOR CARE GROUP INC",
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"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 15613",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HATTIESBURG",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-582-5805",
"MailingAddressFaxNumber": "601-582-5806",
"FirstLinePracticeLocationAddress": "2503 GLENDALE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HATTIESBURG",
"PracticeLocationAddressStateName": "MS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-582-5805",
"PracticeLocationAddressFaxNumber": "601-582-5806",
"EnumerationDate": "08/21/2019",
"LastUpdateDate": "08/21/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AGYEI-KYEM",
"AuthorizedOfficialFirstName": "JANET",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR/OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-582-5801",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "347C00000X",
"TaxonomyName": "Private Vehicle",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251T00000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}