{
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"FirstLineMailingAddress": "PO BOX 2",
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"MailingAddressStateName": "NH",
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"FirstLinePracticeLocationAddress": "1 SKIMOBILE RD",
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"PracticeLocationAddressCityName": "NORTH CONWAY",
"PracticeLocationAddressStateName": "NH",
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"EnumerationDate": "12/17/2014",
"LastUpdateDate": "06/05/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GEARY",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthopedic Physical Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}