{
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"FirstLineMailingAddress": "847 MAIN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLARION",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-221-5390",
"MailingAddressFaxNumber": "814-393-6544",
"FirstLinePracticeLocationAddress": "847 EAST MAIN STREET",
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"PracticeLocationAddressCityName": "CLARION, PA",
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"PracticeLocationAddressTelephoneNumber": "814-221-5390",
"PracticeLocationAddressFaxNumber": "814-393-6544",
"EnumerationDate": "07/31/2023",
"LastUpdateDate": "12/28/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KONDAS",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}