{
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"FirstLineMailingAddress": "799 BROADWAY STE 441",
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"FirstLinePracticeLocationAddress": "80 EAST 11TH STREET STE 411",
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"EnumerationDate": "07/06/2016",
"LastUpdateDate": "08/25/2016",
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"AuthorizedOfficialLastName": "MUELLER",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "PRO016995-1",
"LicenseNumberStateCode": "NY",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}