{
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"OrgName": "LOTUS BLOSSOM ACUPUNCTURE PC",
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"FirstLineMailingAddress": "353 LEXINTON AVENUE",
"SecondLineMailingAddress": "#1205",
"MailingAddressCityName": "NEW YORK CITY",
"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-282-2978",
"MailingAddressFaxNumber": "347-368-0598",
"FirstLinePracticeLocationAddress": "353 LEXINTON AVENUE",
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"PracticeLocationAddressCityName": "NEW YORK CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10016-0031",
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"PracticeLocationAddressTelephoneNumber": "347-405-4558",
"PracticeLocationAddressFaxNumber": "347-368-0598",
"EnumerationDate": "12/13/2017",
"LastUpdateDate": "07/15/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUANG",
"AuthorizedOfficialFirstName": "QIANQIU",
"AuthorizedOfficialMiddleName": "LOTUS",
"AuthorizedOfficialTitle": "FOUNDER,MANAGER",
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"AuthorizedOfficialCredential": "L.AC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "006001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}