{
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"EIN": null,
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"OrgName": "FALCON CREST PERSONAL CARE ASSISTED LIVING",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "4 FALCON LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HATTIESBURG",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39401-9350",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-336-4590",
"MailingAddressFaxNumber": "601-336-4598",
"FirstLinePracticeLocationAddress": "4 FALCON LN",
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"PracticeLocationAddressCityName": "HATTIESBURG",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-336-4590",
"PracticeLocationAddressFaxNumber": "601-336-4598",
"EnumerationDate": "01/28/2016",
"LastUpdateDate": "01/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKER",
"AuthorizedOfficialFirstName": "SUSAN",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "601-336-4590",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3104A0625X",
"TaxonomyName": "Assisted Living Facility (Mental Illness)",
"LicenseNumber": "1092",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}