{
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"OrgName": "BIG APPLE SPEECH THERAPY SLP PLLC",
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"FirstLineMailingAddress": "9151 115TH ST",
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"MailingAddressCityName": "RICHMOND HILL",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11418-3138",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "9151 115TH ST",
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"PracticeLocationAddressCityName": "RICHMOND HILL",
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"EnumerationDate": "04/13/2015",
"LastUpdateDate": "04/13/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEWIS",
"AuthorizedOfficialFirstName": "SHARENE",
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"AuthorizedOfficialCredential": "M.S.,CCC-SLP",
"AuthorizedOfficialTelephoneNumber": "917-702-6809",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Speech-Language Pathologist",
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"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}