{
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"OrgName": "LOVING CARE REST HOME, INC.",
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"FirstLineMailingAddress": "PO BOX 711",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DE SOTO",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63020-0711",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-586-7871",
"MailingAddressFaxNumber": "636-586-0283",
"FirstLinePracticeLocationAddress": "1107 CLARKE ST",
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"PracticeLocationAddressCityName": "DE SOTO",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/29/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHRISTIAN",
"AuthorizedOfficialFirstName": "DANA",
"AuthorizedOfficialMiddleName": "DANICE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "636-586-7871",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "033995",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}