{
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"FirstLineMailingAddress": "125 E 69TH ST",
"SecondLineMailingAddress": "GROUND FLOOR",
"MailingAddressCityName": "NEW YORK",
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"MailingAddressPostalCode": "10021-5022",
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"MailingAddressTelephoneNumber": "212-249-3399",
"MailingAddressFaxNumber": "212-249-3393",
"FirstLinePracticeLocationAddress": "125 E 69TH ST",
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"PracticeLocationAddressFaxNumber": "212-249-3393",
"EnumerationDate": "01/15/2013",
"LastUpdateDate": "01/15/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "HOWARD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "055041",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}