{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOLLY BEAM LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3039 ANDRETTI LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HENDERSON",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89052-4144",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-379-0559",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3039 ANDRETTI LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HENDERSON",
"PracticeLocationAddressStateName": "NV",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-379-0559",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/16/2014",
"LastUpdateDate": "04/16/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEAM",
"AuthorizedOfficialFirstName": "MOLLY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "702-379-0559",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "0792",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}