{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "WILLIAM S LANCASTER, DDS HERBERT J EMMONS, DDS GARY J SURMAN, DDS D",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 351",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDDLEBURGH",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12122-0351",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-827-5171",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "106 DIVISION ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COBLESKILL",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-827-5171",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EMMONS",
"AuthorizedOfficialFirstName": "HERBERT",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT OF PROF. CORP.",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "518-827-5171",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "029712",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}