{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BLAKEMORE & DUNN, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3214 LEAPHART RD",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "WEST COLUMBIA",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29169",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-739-4442",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3214 LEAPHART RD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "WEST COLUMBIA",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29169-3005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-739-4442",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/14/2010",
"LastUpdateDate": "12/14/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALDO",
"AuthorizedOfficialFirstName": "CAROL",
"AuthorizedOfficialMiddleName": "DUNN",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "803-739-4442",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "005634",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}