{
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"IsOrgSubpart": "N",
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"LastName": null,
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"FirstLineMailingAddress": "730 MONTAUK HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CENTER MORICHES",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11934-2213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-878-4642",
"MailingAddressFaxNumber": "631-878-4280",
"FirstLinePracticeLocationAddress": "201 MANOR PL",
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"PracticeLocationAddressCityName": "GREENPORT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-878-4642",
"PracticeLocationAddressFaxNumber": "631-878-4280",
"EnumerationDate": "01/10/2012",
"LastUpdateDate": "01/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADIPIETRO",
"AuthorizedOfficialFirstName": "FRANK",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "631-878-4642",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207L00000X",
"TaxonomyName": "Anesthesiology Physician",
"LicenseNumber": "158532-1",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}