{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ANALAB OPTOMETRY PC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "822 ROUTE 82",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOPEWELL JUNCTION",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12533-7373",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-227-6737",
"MailingAddressFaxNumber": "845-227-6751",
"FirstLinePracticeLocationAddress": "822 ROUTE 82",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOPEWELL JUNCTION",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-227-6737",
"PracticeLocationAddressFaxNumber": "845-227-6751",
"EnumerationDate": "03/27/2009",
"LastUpdateDate": "10/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COHEN",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "845-227-6737",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "VUT005552-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}