{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BOLINGBROOK MEMORY CARE, LLC",
"LastName": null,
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "545 E JOHN CARPENTER FWY",
"SecondLineMailingAddress": "SUITE 500",
"MailingAddressCityName": "IRVING",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75062-3931",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-845-4500",
"MailingAddressFaxNumber": "214-845-4501",
"FirstLinePracticeLocationAddress": "351 LILY CACHE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOLINGBROOK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60440-3441",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-759-0797",
"PracticeLocationAddressFaxNumber": "630-759-1075",
"EnumerationDate": "01/13/2014",
"LastUpdateDate": "01/13/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FIELDS",
"AuthorizedOfficialFirstName": "FELICHIA",
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"AuthorizedOfficialTitle": "VP OF MANAGEMENT--SL",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-845-4454",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "5104283",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}