{
"Npi": {
"NPI": "1679833602",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "J-BLESSED, INC",
"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": "700 2ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILDWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34785-3338",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-748-3130",
"MailingAddressFaxNumber": "352-748-3130",
"FirstLinePracticeLocationAddress": "700 2ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILDWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34785-3338",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-748-3130",
"PracticeLocationAddressFaxNumber": "352-748-3130",
"EnumerationDate": "05/24/2012",
"LastUpdateDate": "05/24/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BIVINS",
"AuthorizedOfficialFirstName": "PAMALA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "352-748-3130",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "692949496",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}