{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "LEROY AMBULANCE SERVICE INC",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8610 MAIN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14221-7455",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-204-3350",
"MailingAddressFaxNumber": "716-247-5274",
"FirstLinePracticeLocationAddress": "1 TOUNTAS AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LE ROY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14482-1345",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-768-8612",
"PracticeLocationAddressFaxNumber": "585-768-2200",
"EnumerationDate": "02/28/2006",
"LastUpdateDate": "08/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPRAGUE",
"AuthorizedOfficialFirstName": "DANE",
"AuthorizedOfficialMiddleName": "R",
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"AuthorizedOfficialTelephoneNumber": "585-768-8612",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1813",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}