{
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"FirstLineMailingAddress": "170 WILLIAM ST",
"SecondLineMailingAddress": "ROOM 2D",
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"FirstLinePracticeLocationAddress": "170 WILLIAM ST",
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"EnumerationDate": "03/08/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANHEIMER",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M. D.",
"AuthorizedOfficialTelephoneNumber": "212-312-5090",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}