{
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"FirstLineMailingAddress": "56 W 39TH ST APT 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW YORK",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-590-7199",
"MailingAddressFaxNumber": "646-455-0143",
"FirstLinePracticeLocationAddress": "56 W 39TH ST APT 5",
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"PracticeLocationAddressCityName": "NEW YORK",
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"EnumerationDate": "09/30/2021",
"LastUpdateDate": "09/30/2021",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOMEZ",
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"AuthorizedOfficialCredential": "PT, DPT, LAC",
"AuthorizedOfficialTelephoneNumber": "212-594-3170",
"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}