{
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    "authorized_official_last_name": "NELSON",
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    "enumeration_date": "2022-12-09",
    "last_updated": "2025-12-03",
    "organization_name": "1121 DREAM HOME",
    "organizational_subpart": "NO",
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    {
      "address_1": "4113 BLEVINS LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PLANO",
      "country_code": "US",
      "country_name": "United States",
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    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
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}