{
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"OrgName": "LAURELBROOK SANITARIUM AND SCHOOL",
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"FirstLineMailingAddress": "114 CAMPUS DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAYTON",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37321-4635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-775-0771",
"MailingAddressFaxNumber": "423-775-6346",
"FirstLinePracticeLocationAddress": "200 SANITARIUM CIRCLE",
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"PracticeLocationAddressCityName": "DAYTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-775-0771",
"PracticeLocationAddressFaxNumber": "423-834-9059",
"EnumerationDate": "12/15/2006",
"LastUpdateDate": "11/19/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELLMAN",
"AuthorizedOfficialFirstName": "KEITH",
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"AuthorizedOfficialTelephoneNumber": "423-775-0771",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "00000000208",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}