{
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"ParentOrgLBN": null,
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"OrgName": "NURSING CENTER OF THE SOUTHWEST LLC",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "2610 CEDAR CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALTUS",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73521-1312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-480-1800",
"MailingAddressFaxNumber": "580-477-2006",
"FirstLinePracticeLocationAddress": "2610 CEDAR CREEK DR",
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"PracticeLocationAddressCityName": "ALTUS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-480-1800",
"PracticeLocationAddressFaxNumber": "580-477-2006",
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRINKMAN",
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"AuthorizedOfficialTelephoneNumber": "580-480-1800",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "NH3305-3305",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}