{
"Npi": {
"NPI": "1508262841",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EMILY EYERMAN THERAPY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4540 CENTER BLVD",
"SecondLineMailingAddress": "APT 2409",
"MailingAddressCityName": "LONG ISLAND CITY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11109-5792",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-655-8648",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "271 MADISON AVE",
"SecondLinePracticeLocationAddress": "SUITE 1400",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10016-1001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-878-5733",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/14/2014",
"LastUpdateDate": "11/14/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EYERMAN",
"AuthorizedOfficialFirstName": "EMILY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "516-655-8648",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "001003",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}