{
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"NamePrefix": null,
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"FirstLineMailingAddress": "19 ARROWHEAD HALL",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/29/2006",
"LastUpdateDate": "04/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCIBILIA",
"AuthorizedOfficialFirstName": "GERARD",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "OWNER THERAPIST",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "225100000X",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
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}
]
}
}
}