{
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"FirstLineMailingAddress": "PO BOX 720",
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"MailingAddressCityName": "YOUNGSVILLE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70592-0720",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-857-0322",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2948 HWY 112",
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"PracticeLocationAddressCityName": "LECOMPTE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-776-6443",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEBERT",
"AuthorizedOfficialFirstName": "JENNIFER",
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"AuthorizedOfficialTelephoneNumber": "337-857-0322",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Personal Care Attendant",
"LicenseNumber": "9134",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}