{
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"FirstLineMailingAddress": "164 W 74TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
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"FirstLinePracticeLocationAddress": "164 W 74TH ST",
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"PracticeLocationAddressCityName": "NEW YORK",
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"PracticeLocationAddressTelephoneNumber": "212-595-5810",
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"EnumerationDate": "01/30/2013",
"LastUpdateDate": "01/30/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALKER",
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"Taxonomies": {
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"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "7002298R",
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}
},
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}
}