{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ORANGE EIGHT PHARMACY LLC",
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"FirstLineMailingAddress": "312 NEW DORP LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STATEN ISLAND",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10306-3036",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "825-391-8347",
"MailingAddressFaxNumber": "347-825-3861",
"FirstLinePracticeLocationAddress": "312 NEW DORP LN",
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"PracticeLocationAddressCityName": "STATEN ISLAND",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-825-3918",
"PracticeLocationAddressFaxNumber": "347-825-3861",
"EnumerationDate": "01/31/2024",
"LastUpdateDate": "01/31/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YU",
"AuthorizedOfficialFirstName": "MAN MAN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-268-8839",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}