{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "THERAPY CENTRO, OT, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4632 SPRINGFIELD BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAYSIDE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11361-3517",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4632 SPRINGFIELD BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BAYSIDE",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-553-4824",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/28/2008",
"LastUpdateDate": "11/28/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIU-CHEN",
"AuthorizedOfficialFirstName": "ANITA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "917-553-4824",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}