{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "THE NEW YORK MILK BANK",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "185 OLD BROADWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HASTINGS ON HUDSON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10706-3801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-956-6455",
"MailingAddressFaxNumber": "914-471-9703",
"FirstLinePracticeLocationAddress": "185 OLD BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HASTINGS ON HUDSON",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-956-6455",
"PracticeLocationAddressFaxNumber": "914-471-9703",
"EnumerationDate": "02/06/2017",
"LastUpdateDate": "02/06/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOUCHET-HORWITZ",
"AuthorizedOfficialFirstName": "JULIE",
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"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP-BC",
"AuthorizedOfficialTelephoneNumber": "212-956-5455",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BP3500X",
"TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
"LicenseNumber": "HM019",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}