{
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"FirstLineMailingAddress": "PO BOX 444",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GUILDERLAND",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12084-0444",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-400-0399",
"MailingAddressFaxNumber": "518-533-6065",
"FirstLinePracticeLocationAddress": "526 ALTAMONT AVE",
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"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressTelephoneNumber": "518-400-0399",
"PracticeLocationAddressFaxNumber": "518-533-6065",
"EnumerationDate": "08/22/2014",
"LastUpdateDate": "07/23/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALKER",
"AuthorizedOfficialFirstName": "NEVILLE",
"AuthorizedOfficialMiddleName": "EARL",
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"AuthorizedOfficialCredential": "DO",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}