{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NINA'S HAVEN INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "10411 NW 21ST CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUNRISE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33322-3512",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-746-6732",
"MailingAddressFaxNumber": "954-380-9537",
"FirstLinePracticeLocationAddress": "10620 SUNSET STRIP",
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"PracticeLocationAddressCityName": "SUNRISE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-404-4423",
"PracticeLocationAddressFaxNumber": "954-380-9537",
"EnumerationDate": "09/13/2016",
"LastUpdateDate": "09/13/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDWARDS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-404-4423",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "10795",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}