{
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"FirstLineMailingAddress": "7 NEWBURGH ST",
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"MailingAddressCityName": "ELMONT",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-387-2033",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7 NEWBURGH ST",
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"EnumerationDate": "12/09/2015",
"LastUpdateDate": "12/09/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AGUOJI",
"AuthorizedOfficialFirstName": "JOSEPHINE",
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"AuthorizedOfficialCredential": "ED.D",
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"Taxonomies": {
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"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}