{
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"FirstLineMailingAddress": "144 E 44TH ST",
"SecondLineMailingAddress": "SUITE 401",
"MailingAddressCityName": "NEW YORK",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "144 E 44TH ST",
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"EnumerationDate": "09/14/2016",
"LastUpdateDate": "09/14/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ROACH",
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"AuthorizedOfficialCredential": "L.M.H.C.",
"AuthorizedOfficialTelephoneNumber": "917-272-4687",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
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"LicenseNumberStateCode": "NY",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
]
}
}
}