{
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"FirstLineMailingAddress": "EDIRA FAMILY HOME CARE LLC",
"SecondLineMailingAddress": "63-52 108 STREET LOWER LEVEL",
"MailingAddressCityName": "FOREST HILLS",
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"FirstLinePracticeLocationAddress": "EDIRA FAMILY HOME CARE LLC",
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"PracticeLocationAddressCityName": "FOREST HILLS",
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"PracticeLocationAddressFaxNumber": "718-830-6211",
"EnumerationDate": "04/12/2018",
"LastUpdateDate": "04/12/2018",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "KORNEYEVA",
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"AuthorizedOfficialTelephoneNumber": "917-293-5250",
"Taxonomies": {
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}