{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "RICHARD M. BOCHNER, M.D., P.C.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 843279",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOSTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02284-3279",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-352-0737",
"MailingAddressFaxNumber": "516-352-0819",
"FirstLinePracticeLocationAddress": "2500 MARCUS AVE",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "LAKE SUCCESS",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-352-0737",
"PracticeLocationAddressFaxNumber": "516-352-0819",
"EnumerationDate": "06/17/2006",
"LastUpdateDate": "11/07/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOCHNER",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "MARTIN",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "516-352-0737",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "142449",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}