{
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"FirstLineMailingAddress": "321 MITCHELL AVE",
"SecondLineMailingAddress": "PO BOX 226 HOMECARE",
"MailingAddressCityName": "BATESVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47006-8909",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-933-5125",
"MailingAddressFaxNumber": "812-933-5108",
"FirstLinePracticeLocationAddress": "321 MITCHELL AVE",
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"PracticeLocationAddressCityName": "BATESVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-933-5125",
"PracticeLocationAddressFaxNumber": "812-933-5108",
"EnumerationDate": "04/25/2007",
"LastUpdateDate": "02/26/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "02/04/2020",
"NPIReactivationDate": "02/26/2020",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAEGER",
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"AuthorizedOfficialTitle": "CFO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "812-934-6624",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}