{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "CHARLA",
    "authorized_official_last_name": "HATCH",
    "authorized_official_middle_name": "C",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9282290560",
    "authorized_official_title_or_position": "Executive Director",
    "enumeration_date": "2007-09-25",
    "last_updated": "2011-03-15",
    "organization_name": "EAGLEDANCER YOUTH AND FAMILY SERVICES, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "305 WEST BEN GAY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WHITE RIVER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-338-2313",
      "postal_code": "85941",
      "state": "AZ",
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    },
    {
      "address_1": "1323 LOBO TRL",
      "address_2": "1323 LOBO TRAIL",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SNOWFLAKE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "859375407",
      "state": "AZ",
      "telephone_number": "928-227-3950"
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      "state": "AZ",
      "taxonomy_group": ""
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      "code": "324500000X",
      "desc": "Substance Abuse Rehabilitation Facility",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": ""
    },
    {
      "code": "322D00000X",
      "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
      "license": null,
      "primary": true,
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      "taxonomy_group": ""
    }
  ],
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    "oig_leie_exclusion": {
      "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 Residential Treatment Facility, Emotionally Disturbed Children",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}