{
"Npi": {
"NPI": "1588911044",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "INTELLI, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4000 HOLLYWOOD BLVD STE 555S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOLLYWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33021-6751",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-484-8033",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1935 NW 134TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33167-1453",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-484-8033",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/14/2012",
"LastUpdateDate": "08/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOUSSAINT",
"AuthorizedOfficialFirstName": "EMMANUEL",
"AuthorizedOfficialMiddleName": "DANIEL",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-484-8033",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "231563",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}