{
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"FirstLineMailingAddress": "1227-2 MONTAUK HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAKDALE",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-218-1545",
"MailingAddressFaxNumber": "631-218-2650",
"FirstLinePracticeLocationAddress": "1227-2 MONTAUK HWY",
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"PracticeLocationAddressFaxNumber": "631-218-2650",
"EnumerationDate": "01/24/2007",
"LastUpdateDate": "10/15/2010",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RASMUSSEN",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "252Y00000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
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}
}