{
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"FirstLinePracticeLocationAddress": "2 GRAMATAN AVE STE 203",
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"PracticeLocationAddressFaxNumber": "914-594-5910",
"EnumerationDate": "03/17/2011",
"LastUpdateDate": "04/10/2025",
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0103X",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}