{
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"FirstLineMailingAddress": "481 MAIN ST",
"SecondLineMailingAddress": "403-A",
"MailingAddressCityName": "NEW ROCHELLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10801-6324",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-912-4859",
"MailingAddressFaxNumber": "914-235-0822",
"FirstLinePracticeLocationAddress": "481 MAIN ST STE 401",
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"PracticeLocationAddressCityName": "NEW ROCHELLE",
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"PracticeLocationAddressFaxNumber": "914-235-0822",
"EnumerationDate": "08/19/2006",
"LastUpdateDate": "11/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALGARIN",
"AuthorizedOfficialFirstName": "YHATRID",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "LCSWR",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "069398-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}