{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MASON ESC, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4141 51ST STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODSIDE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11377",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-505-0100",
"MailingAddressFaxNumber": "347-935-3678",
"FirstLinePracticeLocationAddress": "10512 101ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OZONE PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11416-2703",
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"PracticeLocationAddressTelephoneNumber": "718-505-0100",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/13/2013",
"LastUpdateDate": "12/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MASON",
"AuthorizedOfficialFirstName": "BENJAMIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "718-505-0100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "224032-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}