{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "GENETIC COUNSELING SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "PO BOX 9205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCHENECTADY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12309-1162",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-260-6543",
"MailingAddressFaxNumber": "888-204-5975",
"FirstLinePracticeLocationAddress": "1070 LAMPLIGHTER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-260-6543",
"PracticeLocationAddressFaxNumber": "888-204-5975",
"EnumerationDate": "09/03/2010",
"LastUpdateDate": "09/03/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIEBERS",
"AuthorizedOfficialFirstName": "SYLVIA",
"AuthorizedOfficialMiddleName": "BONNIE",
"AuthorizedOfficialTitle": "GENETIC COUNSELOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS CGC",
"AuthorizedOfficialTelephoneNumber": "888-260-6543",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "170300000X",
"TaxonomyName": "Genetic Counselor (M.S.)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}