{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "133 AVIATION RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "QUEENSBURY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12804-8206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-798-0170",
"MailingAddressFaxNumber": "518-743-0227",
"FirstLinePracticeLocationAddress": "133 AVIATION RD",
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"PracticeLocationAddressCityName": "QUEENSBURY",
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"PracticeLocationAddressTelephoneNumber": "518-798-0170",
"PracticeLocationAddressFaxNumber": "518-743-0227",
"EnumerationDate": "11/03/2008",
"LastUpdateDate": "11/03/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOUGE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-798-0170",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "EI20070906",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}