{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MEMPHIS KG PROPERTY, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3723 FAIRVIEW INDUSTRIAL DR SE",
"SecondLineMailingAddress": "SUITE 270",
"MailingAddressCityName": "SALEM",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97302-1177",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6480 QUINCE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEMPHIS",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "38119-8222",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "901-753-3449",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/09/2009",
"LastUpdateDate": "01/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARDER",
"AuthorizedOfficialFirstName": "JON",
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"AuthorizedOfficialTitle": "MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "503-375-9016",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "ACL0000000131",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}