{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "COOK COUNTY THERAPY INC,",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "510 N PARRISH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ADEL",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31620-2036",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "229-896-2797",
"MailingAddressFaxNumber": "229-896-1629",
"FirstLinePracticeLocationAddress": "510 N PARRISH AVE",
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"PracticeLocationAddressCityName": "ADEL",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "229-896-2797",
"PracticeLocationAddressFaxNumber": "229-896-1629",
"EnumerationDate": "11/03/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BETTS",
"AuthorizedOfficialFirstName": "LORI",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "OWNER/THERAPIST",
"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": "MPT",
"AuthorizedOfficialTelephoneNumber": "229-896-2797",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "00006976",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}