{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "FMRM,LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5100 JACKSON STREET EXT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALEXANDRIA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71303-2317",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-445-5215",
"MailingAddressFaxNumber": "318-442-8067",
"FirstLinePracticeLocationAddress": "5100 JACKSON STREET EXT",
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"PracticeLocationAddressCityName": "ALEXANDRIA",
"PracticeLocationAddressStateName": "LA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-445-5215",
"PracticeLocationAddressFaxNumber": "318-442-8067",
"EnumerationDate": "07/23/2006",
"LastUpdateDate": "01/29/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATTHEWS",
"AuthorizedOfficialFirstName": "RENEE",
"AuthorizedOfficialMiddleName": "J",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "318-445-5215",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "786",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}