{
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"FirstLineMailingAddress": "99 E STATE ST",
"SecondLineMailingAddress": "PO BOX 1250",
"MailingAddressCityName": "GLOVERSVILLE",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "99 E STATE ST",
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"PracticeLocationAddressFaxNumber": "518-775-4225",
"EnumerationDate": "10/10/2006",
"LastUpdateDate": "03/05/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCMAHON",
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"AuthorizedOfficialTelephoneNumber": "518-773-5728",
"Taxonomies": {
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}
},
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}
}