{
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"FirstLineMailingAddress": "1080 RENSSELAER AVE",
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"MailingAddressCityName": "STATEN ISLAND",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1080 RENSSELAER AVE",
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"EnumerationDate": "12/15/2013",
"LastUpdateDate": "12/15/2013",
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"AuthorizedOfficialLastName": "SANGIORGIO",
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"TaxonomyName": "Physical Disabilities Residential Treatment Facility",
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}
},
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}
}