{
"Npi": {
"NPI": "1639495039",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ECUMEN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3530 LEXINGTON AVE N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHOREVIEW",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55126-8166",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-755-9009",
"MailingAddressFaxNumber": "763-862-8030",
"FirstLinePracticeLocationAddress": "3530 LEXINGTON AVE N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHOREVIEW",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55126-8166",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-755-9009",
"PracticeLocationAddressFaxNumber": "763-862-8030",
"EnumerationDate": "04/12/2010",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOWAN",
"AuthorizedOfficialFirstName": "CYNTHIA",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "VP OF FINANCE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "651-766-4300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "346745",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}