{
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"FirstLineMailingAddress": "375 PATTON DR",
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"MailingAddressStateName": "PA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-294-6145",
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"FirstLinePracticeLocationAddress": "507 POTTSVILLE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MINERSVILLE",
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"EnumerationDate": "05/03/2022",
"LastUpdateDate": "05/03/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HESS",
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"AuthorizedOfficialTelephoneNumber": "570-728-7028",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}