{
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"NPI": "1316356066",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "EMORY UNIVERSITY",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "3443 KINGSBORO RD NE",
"SecondLineMailingAddress": "APARTMENT 1115",
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30326-3316",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-612-8264",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1462 CLIFTON RD NE",
"SecondLinePracticeLocationAddress": "SUITE 312",
"PracticeLocationAddressCityName": "ATLANTA",
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"PracticeLocationAddressPostalCode": "30322-1000",
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"PracticeLocationAddressTelephoneNumber": "404-712-5660",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/07/2014",
"LastUpdateDate": "08/07/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZAJAC-COX",
"AuthorizedOfficialFirstName": "LAURA",
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"AuthorizedOfficialTitle": "RESIDENT DIRECTOR",
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"AuthorizedOfficialCredential": "PT, DPT, NCS",
"AuthorizedOfficialTelephoneNumber": "404-712-5660",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": "PT011587",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}