{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "YONG LUO ALLERGY AND ASTHMA P.C.",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "13329 41ST RD",
"SecondLineMailingAddress": "SUITE 1C",
"MailingAddressCityName": "FLUSHING",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11355-3670",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-475-9606",
"MailingAddressFaxNumber": "718-475-9607",
"FirstLinePracticeLocationAddress": "13329 41ST RD",
"SecondLinePracticeLocationAddress": "SUITE 1C",
"PracticeLocationAddressCityName": "FLUSHING",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-475-9606",
"PracticeLocationAddressFaxNumber": "718-475-9607",
"EnumerationDate": "03/03/2016",
"LastUpdateDate": "03/03/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUO",
"AuthorizedOfficialFirstName": "YONG",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "718-475-9606",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207K00000X",
"TaxonomyName": "Allergy & Immunology Physician",
"LicenseNumber": "267414",
"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."
}
}
}
}