{
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"FirstLineMailingAddress": "PO BOX 200115",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH OZONE PARK",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-667-4191",
"MailingAddressFaxNumber": "347-494-5503",
"FirstLinePracticeLocationAddress": "14012 ROCKAWAY BLVD",
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"PracticeLocationAddressCityName": "SOUTH OZONE PARK",
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"PracticeLocationAddressFaxNumber": "347-494-5503",
"EnumerationDate": "01/16/2010",
"LastUpdateDate": "01/16/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRITZ-MILAN",
"AuthorizedOfficialFirstName": "CHARLOTTE",
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"AuthorizedOfficialCredential": "M.S.ED",
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"Taxonomies": {
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"TaxonomyName": "Early Intervention Provider Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}