{
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"FirstLineMailingAddress": "146 OLD MCHENRY RD",
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"FirstLinePracticeLocationAddress": "146 OLD MCHENRY RD",
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"EnumerationDate": "06/30/2010",
"LastUpdateDate": "06/30/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHMELA",
"AuthorizedOfficialFirstName": "KRISTIN",
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"AuthorizedOfficialCredential": "M.A. CCC-SLP",
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}