{
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"FirstLineMailingAddress": "5172 MADISON AVE",
"SecondLineMailingAddress": "APT # A3",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-878-1761",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5172 MADISON AVE",
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"PracticeLocationAddressFaxNumber": "517-381-2590",
"EnumerationDate": "04/19/2012",
"LastUpdateDate": "04/19/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIVARAJ",
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"AuthorizedOfficialCredential": "PHYSICAL THERAPIST",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}