{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "UNITED CARE HOME HEALTH SERVICES LLC",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "12555 ORANGE DR STE 120",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAVIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33330-4304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-475-4654",
"MailingAddressFaxNumber": "954-475-4655",
"FirstLinePracticeLocationAddress": "12555 ORANGE DR STE 120",
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"PracticeLocationAddressCityName": "DAVIE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-475-4654",
"PracticeLocationAddressFaxNumber": "954-475-4655",
"EnumerationDate": "02/28/2007",
"LastUpdateDate": "03/01/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALOMA",
"AuthorizedOfficialFirstName": "DOMINIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPERATING MANAGER",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299992867",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}