{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "DIAMOND PERSONAL CARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "33 MACARTHUR DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONWAY",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72032-4510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-358-6180",
"MailingAddressFaxNumber": "501-504-6933",
"FirstLinePracticeLocationAddress": "33 MACARTHUR DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONWAY",
"PracticeLocationAddressStateName": "AR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-358-6180",
"PracticeLocationAddressFaxNumber": "501-504-6933",
"EnumerationDate": "10/03/2019",
"LastUpdateDate": "11/10/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DESONIE",
"AuthorizedOfficialFirstName": "NANCY",
"AuthorizedOfficialMiddleName": "ISCH",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "501-358-6180",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}