{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MERAKI COMMUNITY BIRTH CENTER",
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"FirstLineMailingAddress": "301 W STATE ST",
"SecondLineMailingAddress": null,
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"MailingAddressPostalCode": "14850-5431",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-288-2336",
"MailingAddressFaxNumber": "607-304-5534",
"FirstLinePracticeLocationAddress": "301 W STATE ST",
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"PracticeLocationAddressCityName": "ITHACA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-288-2336",
"PracticeLocationAddressFaxNumber": "607-304-5534",
"EnumerationDate": "04/08/2026",
"LastUpdateDate": "04/08/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANDEVILLE",
"AuthorizedOfficialFirstName": "EMELINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "MIDWIFE",
"AuthorizedOfficialTelephoneNumber": "607-351-0764",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "176B00000X",
"TaxonomyName": "Midwife",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QB0400X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}