{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "TYVAL ASSISTED LIVING FACILITY, LLC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "3526 GENEVRA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOYNTON BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33436-3103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-364-4772",
"MailingAddressFaxNumber": "561-369-1449",
"FirstLinePracticeLocationAddress": "3526 GENEVRA AVE",
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"PracticeLocationAddressCityName": "BOYNTON BEACH",
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"PracticeLocationAddressTelephoneNumber": "561-364-4772",
"PracticeLocationAddressFaxNumber": "561-369-1449",
"EnumerationDate": "03/27/2013",
"LastUpdateDate": "03/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POWELL",
"AuthorizedOfficialFirstName": "VALRIE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-752-0172",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL11128",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}