{
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"FirstLineMailingAddress": "166 5TH AVE",
"SecondLineMailingAddress": "2ND FLOOR",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10010-5909",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-343-8053",
"MailingAddressFaxNumber": "212-343-8055",
"FirstLinePracticeLocationAddress": "197 GRAND ST",
"SecondLinePracticeLocationAddress": "3E",
"PracticeLocationAddressCityName": "NEW YORK",
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"PracticeLocationAddressTelephoneNumber": "212-343-8053",
"PracticeLocationAddressFaxNumber": "212-343-8055",
"EnumerationDate": "03/01/2016",
"LastUpdateDate": "01/25/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FROMBERG",
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"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "212-343-8053",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}