{
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"FirstLineMailingAddress": "19175 MERRIMAN ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIVONIA",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48152",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-471-9400",
"MailingAddressFaxNumber": "248-471-9449",
"FirstLinePracticeLocationAddress": "19175 MERRIMAN ROAD",
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"PracticeLocationAddressCityName": "LIVONIA",
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"PracticeLocationAddressFaxNumber": "248-471-9449",
"EnumerationDate": "11/19/2009",
"LastUpdateDate": "11/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JHA",
"AuthorizedOfficialFirstName": "PREETI",
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"AuthorizedOfficialCredential": "PHYSICAL THERAPIST (",
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"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}