{
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"NamePrefix": null,
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"FirstLineMailingAddress": "619 E SPRINGHILL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TERRE HAUTE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47802-4304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-232-3504",
"MailingAddressFaxNumber": "812-232-6396",
"FirstLinePracticeLocationAddress": "15 FOREST PARK PLZ",
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"PracticeLocationAddressCityName": "BRAZIL",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47834-2737",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-420-1114",
"PracticeLocationAddressFaxNumber": "812-420-1115",
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "05/01/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BINSTEIN",
"AuthorizedOfficialFirstName": "RICHARD",
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"AuthorizedOfficialCredential": "JD",
"AuthorizedOfficialTelephoneNumber": "713-297-7000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}