{
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"OtherLastName": "LEMBKE",
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"FirstLineMailingAddress": "PO BOX 569",
"SecondLineMailingAddress": "848 ROUTE 50",
"MailingAddressCityName": "BURNT HILLS",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-831-1500",
"MailingAddressFaxNumber": "518-377-1677",
"FirstLinePracticeLocationAddress": "2554 STATE ROUTE 9",
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"PracticeLocationAddressCityName": "BALLSTON SPA",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-899-5002",
"PracticeLocationAddressFaxNumber": "518-899-5840",
"EnumerationDate": "10/04/2006",
"LastUpdateDate": "06/17/2023",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "F333007",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}