{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "INTERIM HEALTHCARE",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "363 PARKVIEW AVE APT 2J",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YONKERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10710-5158",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-320-5681",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "363 PARKVIEW AVE APT 2J",
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"PracticeLocationAddressCityName": "YONKERS",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressTelephoneNumber": "914-320-5681",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/15/2011",
"LastUpdateDate": "08/15/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALEXANDER",
"AuthorizedOfficialFirstName": "RENNEE",
"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "914-320-5681",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "357676-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}