{
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"IsOrgSubpart": "N",
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "111 MAIN ST.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT KISCO",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10549",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-218-8787",
"MailingAddressFaxNumber": "914-218-8789",
"FirstLinePracticeLocationAddress": "111 MAIN ST.",
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"PracticeLocationAddressCityName": "MT. KISCO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-218-8787",
"PracticeLocationAddressFaxNumber": "914-218-8789",
"EnumerationDate": "11/06/2008",
"LastUpdateDate": "11/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NARANJO",
"AuthorizedOfficialFirstName": "MIGUEL",
"AuthorizedOfficialMiddleName": "ARMANDO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "914-666-7542",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}