{
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"EIN": null,
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"OrgName": "G.S.CHUN ACUPUNCTURE, P.C.",
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"FirstLineMailingAddress": "2739 164TH ST FL 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLUSHING",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11358-1061",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-319-9397",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "207 HALLOCK RD STE 209",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STONY BROOK",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "929-412-7558",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/17/2020",
"LastUpdateDate": "09/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHUN",
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"AuthorizedOfficialCredential": "L.AC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP3300X",
"TaxonomyName": "Pain Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}