{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SPECIALTY INFUSIONS INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1624 BROADWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKLYN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11207-1026",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-443-4000",
"MailingAddressFaxNumber": "718-443-5000",
"FirstLinePracticeLocationAddress": "1624 BROADWAY",
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"PracticeLocationAddressCityName": "BROOKLYN",
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"PracticeLocationAddressTelephoneNumber": "718-443-4000",
"PracticeLocationAddressFaxNumber": "718-443-5000",
"EnumerationDate": "02/19/2016",
"LastUpdateDate": "05/21/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NIRENBERG",
"AuthorizedOfficialFirstName": "WESTLEIGH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SUPERVISING PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM. D.",
"AuthorizedOfficialTelephoneNumber": "718-443-4000",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251F00000X",
"TaxonomyName": "Home Infusion Agency",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "333600000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}