{
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"FirstLineMailingAddress": "217-62 PECK AVENUE.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "QUEENS VILLAGE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11427-1118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-465-4000",
"MailingAddressFaxNumber": "718-776-6823",
"FirstLinePracticeLocationAddress": "216-16 UNION TURNPIKE",
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"PracticeLocationAddressCityName": "BAYSIDE",
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"EnumerationDate": "08/28/2007",
"LastUpdateDate": "08/28/2007",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "LUO",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
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"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
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"LicenseNumberStateCode": "NY",
"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."
}
}
}
}