{
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"LastName": "GONZALEZ",
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"Credential": "DPT",
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"FirstLineMailingAddress": "1701 LIBRARY BLVD SUITE A",
"SecondLineMailingAddress": "COLLABORATING FOR KIDS, LLC",
"MailingAddressCityName": "GREENWOOD",
"MailingAddressStateName": "IN",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-840-0558",
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"FirstLinePracticeLocationAddress": "1701 LIBRARY BLVD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-881-9923",
"PracticeLocationAddressFaxNumber": "614-840-9310",
"EnumerationDate": "08/20/2008",
"LastUpdateDate": "04/26/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2251P0200X",
"TaxonomyName": "Pediatric Physical Therapist",
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"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}