{
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"FirstLineMailingAddress": "50 GENESEE ST",
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"MailingAddressCityName": "NEW HARTFORD",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-338-3963",
"MailingAddressFaxNumber": "315-922-7025",
"FirstLinePracticeLocationAddress": "50 GENESEE ST",
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"PracticeLocationAddressCityName": "NEW HARTFORD",
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"PracticeLocationAddressFaxNumber": "315-922-7025",
"EnumerationDate": "10/10/2023",
"LastUpdateDate": "01/24/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WINBERG",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QP2000X",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}