{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "ADAIR",
    "authorized_official_last_name": "DEICKE",
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    "authorized_official_title_or_position": "Owner/CEO",
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    "enumeration_date": "2020-05-29",
    "last_updated": "2022-08-26",
    "organization_name": "ADVANCED BEHAVIORAL CLINICIANS, LLC",
    "organizational_subpart": "NO",
    "status": "A"
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    {
      "address_1": "20 MEADOWBROOK LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PALMER",
      "country_code": "US",
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      "postal_code": "010691134",
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      "telephone_number": "941-870-3600"
    },
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      "address_1": "2650 BAHIA VISTA ST STE 209",
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      "country_code": "US",
      "country_name": "United States",
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      "postal_code": "342392625",
      "state": "FL",
      "telephone_number": "941-870-3600"
    }
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      "code": "363L00000X",
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      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
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      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
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      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}