{
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"IsOrgSubpart": "N",
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"OrgName": "AT HOME PT SERVICES LLC",
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"FirstName": null,
"MiddleName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "25211 ROLAND LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PUNTA GORDA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33955-4219",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-554-5803",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "25211 ROLAND LN",
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"PracticeLocationAddressCityName": "PUNTA GORDA",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2007",
"LastUpdateDate": "12/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SITZBERGER",
"AuthorizedOfficialFirstName": "SUSAN",
"AuthorizedOfficialMiddleName": "T.",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "PT0002384",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}