{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GINA'S ANGELS HOME HEALTHCARE, LLC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3282 S BOWMAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "APACHE JUNCTION",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85119-3684",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-773-6936",
"MailingAddressFaxNumber": "888-897-8710",
"FirstLinePracticeLocationAddress": "3282 S BOWMAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APACHE JUNCTION",
"PracticeLocationAddressStateName": "AZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-773-6936",
"PracticeLocationAddressFaxNumber": "888-897-8710",
"EnumerationDate": "06/09/2016",
"LastUpdateDate": "04/19/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROWN",
"AuthorizedOfficialFirstName": "REGINA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "602-773-6936",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}