{
"Npi": {
"NPI": "1689964306",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LOST CREEK CARE CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "804 S MUMAUGH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIMA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45804-3569",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "567-712-7569",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "804 S MUMAUGH RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIMA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45804-3569",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "567-712-7569",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/14/2011",
"LastUpdateDate": "04/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOONAN",
"AuthorizedOfficialFirstName": "DIONNA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "614-563-4713",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "005613",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}