{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "EDEN HINSDALE LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1922 N MENDELL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60642-1222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-446-6262",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10 N WASHINGTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HINSDALE",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressTelephoneNumber": "312-446-6262",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2015",
"LastUpdateDate": "07/22/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAMBLET",
"AuthorizedOfficialFirstName": "MITCH",
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"AuthorizedOfficialTitle": "GENERAL MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "312-446-6262",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "5103756",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}