{
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"EIN": null,
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"OrgName": "JENNINGS SOUTH, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3327 N CIVIC CENTER PLZ",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCOTTSDALE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85251-6404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-946-7111",
"MailingAddressFaxNumber": "480-945-2344",
"FirstLinePracticeLocationAddress": "3327 N CIVIC CENTER PLZ",
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"PracticeLocationAddressCityName": "SCOTTSDALE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-946-7111",
"PracticeLocationAddressFaxNumber": "480-945-2344",
"EnumerationDate": "05/24/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLATTERY",
"AuthorizedOfficialFirstName": "EDWARD",
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"AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
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"AuthorizedOfficialCredential": "COO",
"AuthorizedOfficialTelephoneNumber": "513-325-9304",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "ALC 4470",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}