{
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"FirstLineMailingAddress": "60 S PINE ST",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "NY",
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"FirstLinePracticeLocationAddress": "75 W ROUTE 59",
"SecondLinePracticeLocationAddress": "SEARS OPTICAL DEPARTMENT",
"PracticeLocationAddressCityName": "NANUET",
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"EnumerationDate": "09/03/2008",
"LastUpdateDate": "09/03/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHIFFMAN",
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"AuthorizedOfficialTelephoneNumber": "845-627-2582",
"Taxonomies": {
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"TaxonomyName": "Optometrist",
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"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."
}
}
}
}