{
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"OrgName": "OTSEGO COUNTY COMMUNITY SERVICES",
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"FirstLineMailingAddress": "242 MAIN ST",
"SecondLineMailingAddress": "SECOND FLOOR",
"MailingAddressCityName": "ONEONTA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13820-2527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-431-1030",
"MailingAddressFaxNumber": "607-431-1033",
"FirstLinePracticeLocationAddress": "140 COUNTY HIGHWAY 33W",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "COOPERSTOWN",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-547-1600",
"PracticeLocationAddressFaxNumber": "607-547-1607",
"EnumerationDate": "09/06/2006",
"LastUpdateDate": "05/06/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATT",
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"AuthorizedOfficialCredential": "LCSW/CASAC",
"AuthorizedOfficialTelephoneNumber": "607-433-2343",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0405X",
"TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
"LicenseNumber": "061110917",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}