{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SHAKTI SENIOR CARE LLC",
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"FirstLineMailingAddress": "851 PECAN TREE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT MILL",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29715-7010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-907-0524",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1041 RED VENTURES DR",
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"PracticeLocationAddressCityName": "FORT MILL",
"PracticeLocationAddressStateName": "SC",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/02/2026",
"LastUpdateDate": "04/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMIN",
"AuthorizedOfficialFirstName": "PALAK",
"AuthorizedOfficialMiddleName": "HARSH",
"AuthorizedOfficialTitle": "MANAGING DIRECTOR",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "731-589-8118",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}