{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SCOTT'S FAMILY HEALTHCARE LLC",
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"NamePrefix": null,
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"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4453 BIRCH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTSMOUTH",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23703-1501",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-606-0668",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4453 BIRCH RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORTSMOUTH",
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"PracticeLocationAddressTelephoneNumber": "757-606-0668",
"PracticeLocationAddressFaxNumber": "757-238-5745",
"EnumerationDate": "05/29/2023",
"LastUpdateDate": "05/29/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCOTT",
"AuthorizedOfficialFirstName": "LASHIONA",
"AuthorizedOfficialMiddleName": "NIKKI",
"AuthorizedOfficialTitle": "OWNER AND OPERATOR",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "757-606-0568",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}