{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HOWARD HOME HEALTH H3 LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4604 VARRELMANN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63116-2418",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-452-3039",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4604 VARRELMANN AVE",
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"PracticeLocationAddressCityName": "SAINT LOUIS",
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"PracticeLocationAddressTelephoneNumber": "314-452-3039",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/01/2017",
"LastUpdateDate": "06/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SECIC",
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"AuthorizedOfficialTitle": "ONWER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "314-452-3039",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "LC1376637",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}