{
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"FirstLineMailingAddress": "PO BOX 167",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRONX",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10471-0167",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-333-3347",
"MailingAddressFaxNumber": "212-262-5120",
"FirstLinePracticeLocationAddress": "330 W 58TH ST",
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"PracticeLocationAddressCityName": "NEW YORK",
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"PracticeLocationAddressFaxNumber": "212-262-5120",
"EnumerationDate": "05/17/2006",
"LastUpdateDate": "03/14/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GLYPTIS",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Infectious Disease Physician",
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"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}