{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "WARRENSBURG EMERGENCY MEDICAL SERVICES INC",
"LastName": null,
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"NamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "107 WASHINGTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBANY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12210-2231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-603-2455",
"MailingAddressFaxNumber": "888-603-2455",
"FirstLinePracticeLocationAddress": "3 KING ST",
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"PracticeLocationAddressCityName": "WARRENSBURG",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-623-4911",
"PracticeLocationAddressFaxNumber": "518-623-3651",
"EnumerationDate": "09/16/2006",
"LastUpdateDate": "09/12/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OUELLETTE",
"AuthorizedOfficialFirstName": "COREY",
"AuthorizedOfficialMiddleName": "SHANE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-623-4911",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": "10557",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}