{
"Npi": {
"NPI": "1609806579",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEE BIVINS FOUNDATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1727",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMARILLO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79105-1727",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-379-9400",
"MailingAddressFaxNumber": "806-379-9404",
"FirstLinePracticeLocationAddress": "6600 KILLGORE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMARILLO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79106-3700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "806-350-2200",
"PracticeLocationAddressFaxNumber": "806-354-8537",
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "11/28/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SNEED",
"AuthorizedOfficialFirstName": "PAUL",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "806-379-9400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "112385",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}