{
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"FirstLineMailingAddress": "233 FULTON ST E",
"SecondLineMailingAddress": "SUITE 114",
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"FirstLinePracticeLocationAddress": "233 E FULTON ST",
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"EnumerationDate": "11/30/2011",
"LastUpdateDate": "04/12/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CARDE",
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"AuthorizedOfficialCredential": "LMSW",
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"Taxonomies": {
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}
},
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}
}
}
}