{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BLANDFORD FAMILY SERVICES LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "5007 DAMPIER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTER",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23831-6640",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-605-1800",
"MailingAddressFaxNumber": "804-318-1569",
"FirstLinePracticeLocationAddress": "2703 TIPTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLONIAL HEIGHTS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23834-5246",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-605-1800",
"PracticeLocationAddressFaxNumber": "804-318-1569",
"EnumerationDate": "09/30/2009",
"LastUpdateDate": "02/16/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLANDFORD",
"AuthorizedOfficialFirstName": "IRVIN",
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"AuthorizedOfficialTitle": "OWNER/DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "804-605-1800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": "1063-14-001",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}