{
"Npi": {
"NPI": "1710219720",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "401 E FRONT ST",
"SecondLineMailingAddress": "SUITE 224",
"MailingAddressCityName": "TYLER",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75702-8213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-592-3300",
"MailingAddressFaxNumber": "903-592-3301",
"FirstLinePracticeLocationAddress": "1100 STONE RD",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "KILGORE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75662-5482",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-986-3792",
"PracticeLocationAddressFaxNumber": "903-986-3793",
"EnumerationDate": "02/02/2010",
"LastUpdateDate": "02/02/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ORTIZ",
"AuthorizedOfficialFirstName": "GREG",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "903-592-3300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}