{
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"FirstLineMailingAddress": "984 NORTH BROADWAY",
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"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10701-1319",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "984 NORTH BROADWAY",
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"EnumerationDate": "01/23/2008",
"LastUpdateDate": "02/26/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ERSTLING",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "001940",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"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."
}
}
}
}