{
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"IsOrgSubpart": "N",
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"OrgName": "GREEN EMERALD HOME CARE SERVICES",
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"FirstLineMailingAddress": "2721 BENCH CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLENWOOD",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-759-7213",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2047 GEES MILL RD NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONYERS",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/03/2023",
"LastUpdateDate": "02/03/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREEN",
"AuthorizedOfficialFirstName": "JONITA",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "404-759-7213",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}