{
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"EIN": null,
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"OrgName": "RICHARD GARIOLO LLC",
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"FirstLineMailingAddress": "12 LINCOLN BOULEVARD",
"SecondLineMailingAddress": "SUITE 206 RICHARD GARIOLO LLC",
"MailingAddressCityName": "EMERSON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07630-1173",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-967-9333",
"MailingAddressFaxNumber": "201-967-9466",
"FirstLinePracticeLocationAddress": "12 LINCOLN BOULEVARD",
"SecondLinePracticeLocationAddress": "SUITE 206 RICHARD GARIOLO LLC",
"PracticeLocationAddressCityName": "EMERSON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-967-9333",
"PracticeLocationAddressFaxNumber": "201-967-9466",
"EnumerationDate": "01/18/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARIOLO",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "201-967-9333",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "37PC00001100",
"LicenseNumberStateCode": "NJ",
"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."
}
}
}
}