{
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"IsOrgSubpart": "N",
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"OrgName": "MMMT CORPORATION",
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"FirstLineMailingAddress": "5600 SPRING MOUNTAIN RD",
"SecondLineMailingAddress": "SUITE 209",
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89146-8821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-893-8962",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8225 W ROBINDALE RD",
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"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89113",
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"PracticeLocationAddressTelephoneNumber": "702-248-0381",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/13/2017",
"LastUpdateDate": "04/28/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAVLOW",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "RICHARD",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "702-248-0381",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}