{
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"EIN": null,
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"OrgName": "DENTON ASSISTED LIVING, L.P.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "1615 W ABRAM ST",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "ARLINGTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76013-1788",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-861-8442",
"MailingAddressFaxNumber": "817-274-8679",
"FirstLinePracticeLocationAddress": "1357 BERNARD ST",
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"PracticeLocationAddressCityName": "DENTON",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-861-8442",
"PracticeLocationAddressFaxNumber": "817-549-9881",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "01/18/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JORDAN",
"AuthorizedOfficialFirstName": "CHRISTY",
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"AuthorizedOfficialTitle": "REPRESENTATIVE",
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"AuthorizedOfficialTelephoneNumber": "817-861-8442",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "117726",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "310400000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}