{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "KJ ACU & HERBS CORP.",
"LastName": null,
"FirstName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6432 224TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAKLAND GARDENS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11364-2318",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-670-8155",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6432 224TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAKLAND GARDENS",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressTelephoneNumber": "646-670-8155",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/09/2016",
"LastUpdateDate": "11/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ACUPUNTURIST",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "646-670-8155",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "25MZ00080100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}