{
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"EIN": null,
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"OrgName": "TENDER LOVING CARE HEALTH CARE SERVICES OF NASSAU SUFFOLK, LLC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "3854 AMERICAN WAY",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "BATON ROUGE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70816-4896",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-292-2031",
"MailingAddressFaxNumber": "225-295-9678",
"FirstLinePracticeLocationAddress": "1 OLD COUNTRY RD STE PL03",
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"PracticeLocationAddressCityName": "CARLE PLACE",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-358-3737",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/18/2006",
"LastUpdateDate": "08/30/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIGLICCO",
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"AuthorizedOfficialTelephoneNumber": "225-299-3803",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "2905600",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}