{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "WILLE PHYSICAL THERAPY LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "514 LAFAYETTE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPARTA",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07871-3494",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-940-0871",
"MailingAddressFaxNumber": "973-940-0872",
"FirstLinePracticeLocationAddress": "514 LAFAYETTE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPARTA",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07871-3494",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-940-0871",
"PracticeLocationAddressFaxNumber": "973-940-0872",
"EnumerationDate": "02/10/2012",
"LastUpdateDate": "02/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLE",
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"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "862-266-0703",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "40QA00586800",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}