{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HEALTH IN MOTION LLC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "21615 N HACKAMORE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PAULDEN",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "86334-4613",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "928-925-4388",
"MailingAddressFaxNumber": "928-636-9894",
"FirstLinePracticeLocationAddress": "21615 N HACKAMORE LN",
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"PracticeLocationAddressTelephoneNumber": "928-925-4388",
"PracticeLocationAddressFaxNumber": "928-636-9894",
"EnumerationDate": "09/17/2009",
"LastUpdateDate": "11/23/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAN DEMARK",
"AuthorizedOfficialFirstName": "CHERYL",
"AuthorizedOfficialMiddleName": "BARR",
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"AuthorizedOfficialCredential": "PT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}