{
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"IsOrgSubpart": "Y",
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"FirstLineMailingAddress": "12470 TELECOM DR STE 300W",
"SecondLineMailingAddress": "ATTENTION: COMPLIANCE",
"MailingAddressCityName": "TEMPLE TERRACE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33637-0904",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-863-7971",
"MailingAddressFaxNumber": "727-868-9261",
"FirstLinePracticeLocationAddress": "6807 ROWAN RD",
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"PracticeLocationAddressCityName": "NEW PORT RICHEY",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-863-7971",
"PracticeLocationAddressFaxNumber": "727-868-9261",
"EnumerationDate": "01/12/2007",
"LastUpdateDate": "08/24/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAUCIER",
"AuthorizedOfficialFirstName": "SHARON",
"AuthorizedOfficialMiddleName": "PAMELA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "813-871-8031",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}