{
"Npi": {
"NPI": "1659707685",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAPLEWOOD AT ORANGE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "245 INDIAN RIVER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORANGE",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06477-3634",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-795-3117",
"MailingAddressFaxNumber": "203-795-3118",
"FirstLinePracticeLocationAddress": "245 INDIAN RIVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGE",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06477-3634",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-795-3117",
"PracticeLocationAddressFaxNumber": "203-795-3118",
"EnumerationDate": "09/23/2013",
"LastUpdateDate": "09/23/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "GREG",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-557-4777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "0167",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}