{
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"FirstLineMailingAddress": "99 W HAWTHORNE AVE",
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"FirstLinePracticeLocationAddress": "4112 SPRINGHILL RD",
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"PracticeLocationAddressCityName": "PORTAGE",
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"EnumerationDate": "03/16/2017",
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"NPIDeactivationReasonCode": null,
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"GenderCode": null,
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"AuthorizedOfficialLastName": "LAHASKY",
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"AuthorizedOfficialTelephoneNumber": "646-772-3668",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}