{
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"OrgName": "CREST WEST LONG BRANCH PHYSICAL THERAPY PA",
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"FirstLineMailingAddress": "66 W GILBERT ST",
"SecondLineMailingAddress": "2ND FLOOR",
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"MailingAddressPostalCode": "07701-4947",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-212-0060",
"MailingAddressFaxNumber": "732-212-0061",
"FirstLinePracticeLocationAddress": "100 STATE ROUTE 36",
"SecondLinePracticeLocationAddress": "SUITE 2P",
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"PracticeLocationAddressTelephoneNumber": "732-212-0060",
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"EnumerationDate": "12/02/2011",
"LastUpdateDate": "12/02/2011",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CALABRO",
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"AuthorizedOfficialCredential": "DO",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}