{
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"FirstLineMailingAddress": "7106 GOLDEN GROUNDSEL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KATY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77493-4342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-866-4198",
"MailingAddressFaxNumber": "281-674-4765",
"FirstLinePracticeLocationAddress": "7106 GOLDEN GROUNDSEL DR",
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"PracticeLocationAddressCityName": "KATY",
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"PracticeLocationAddressTelephoneNumber": "832-866-4198",
"PracticeLocationAddressFaxNumber": "281-674-4765",
"EnumerationDate": "02/07/2023",
"LastUpdateDate": "02/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLUMOROTI",
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"AuthorizedOfficialTitle": "ADMINISTRATOR",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "832-866-4198",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}