{
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"FirstLineMailingAddress": "52 WENNINGTON DR",
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"MailingAddressCityName": "POUGHKEEPSIE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-471-2345",
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"FirstLinePracticeLocationAddress": "1133 ROUTE 55 STE 11",
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"PracticeLocationAddressCityName": "LAGRANGEVILLE",
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"EnumerationDate": "10/12/2016",
"LastUpdateDate": "10/12/2016",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHALIL",
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"AuthorizedOfficialCredential": "NPP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}