{
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"FirstLineMailingAddress": "4072 LOCKPORT DRIVE",
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"FirstLinePracticeLocationAddress": "4072 LOCKPORT DRIVE",
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"EnumerationDate": "03/24/2014",
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"NPIDeactivationReasonCode": null,
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"AuthorizedOfficialLastName": "EULALIA",
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"TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
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}
},
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}
}