{
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"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "333 MAMARONECK AVE",
"SecondLineMailingAddress": "#331",
"MailingAddressCityName": "WHITE PLAINS",
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"MailingAddressPostalCode": "10605-1440",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-458-2249",
"MailingAddressFaxNumber": "914-885-1072",
"FirstLinePracticeLocationAddress": "27 LESLIE PL",
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"PracticeLocationAddressCityName": "NEW ROCHELLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-458-2249",
"PracticeLocationAddressFaxNumber": "914-885-1072",
"EnumerationDate": "10/22/2012",
"LastUpdateDate": "08/22/2013",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOKA",
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"AuthorizedOfficialCredential": "PT,DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": "026319",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}