{
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"FirstLineMailingAddress": "280 BRONXVILLE RD APT 2X",
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"FirstLinePracticeLocationAddress": "280 BRONXVILLE RD APT 2X",
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"PracticeLocationAddressCityName": "BRONXVILLE",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/25/2022",
"LastUpdateDate": "02/25/2022",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FURNARI",
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"AuthorizedOfficialCredential": "CCC-SLP",
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"Taxonomies": {
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"TaxonomyName": "Early Intervention Provider Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}